Individual
JIMMY D OLARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2903 SIERRA DR, KILLEEN, TX 76543-2626
(254) 258-3410
Mailing address
2903 SIERRA DR, KILLEEN, TX 76543-2626
(254) 258-3410
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
195464
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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