Individual
EDWIN OLIVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4559 CUPOLA DR, LORAIN, OH 44053-1662
(440) 371-0517
Mailing address
4559 CUPOLA DR, LORAIN, OH 44053-1662
(440) 371-0517
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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