Individual
BERTHA W OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 VAN BUREN ST, JACKSONVILLE, FL 32206-5782
(904) 610-5548
(904) 356-2158
Mailing address
810 VAN BUREN ST, JACKSONVILLE, FL 32206-5782
(904) 610-5548
(904) 356-2158
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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