Individual
DEANN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4513
(805) 781-5570
(805) 781-1217
Mailing address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-2180
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
752667
CA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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