Individual
OLIVIA RENAE SOUTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 MAPLE LEAF LN, HOWELL, MI 48843-8371
(734) 904-9829
Mailing address
1299 MAPLE LEAF LN, HOWELL, MI 48843-8371
(734) 904-9829
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704349207
MI
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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