Individual
OLIVIA TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
418 SPENCER LN, GALLOWAY, NJ 08205-9617
(800) 950-6066
Mailing address
418 SPENCER LN, GALLOWAY, NJ 08205-9617
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04242000
NJ
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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