Individual
OLIVIA ROSE LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR18115600
NJ
163W00000X
Registered Nurse
RN678287
PA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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