Individual
PAKI OLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38 S MAIN ST, TOOELE, UT 84074-2132
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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