Individual
SHEILA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 MEREDITH AVE, NEDROW, NY 13120-1119
(315) 766-5465
(315) 492-2758
Mailing address
132 MEREDITH AVE, NEDROW, NY 13120-1119
(315) 766-5465
(315) 492-2758
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
845775075
NY
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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