Individual
CHRISTIAN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3458 FISH AVE APT 3B, BRONX, NY 10469-2223
(917) 885-8048
Mailing address
3458 FISH AVE APT 3B, BRONX, NY 10469-2223
(917) 885-8048
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313157
NY
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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