Individual
EMMA WERNER OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
6109 STANNYE DR, LOUISVILLE, KY 40222-6339
(502) 386-1970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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