Individual
AMANDA NICOLE OLEVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
1400 PARKER STREET, CLEVELAND, TN 37311-4566
(931) 310-3315
Mailing address
1400 PARKER ST NE, CLEVELAND, TN 37311-4566
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2020
Last updated
10/08/2020
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