Individual
CRYSTAL OLIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 386-6040
Mailing address
1561 SPRING LN, LAKE PLACID, FL 33852-5603
(863) 633-9633
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5236707
FL
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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