Individual
OLGA VICKERIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 HIELD RD, MELBOURNE, FL 32904-9540
(321) 501-7928
Mailing address
3100 HIELD RD, MELBOURNE, FL 32904-9540
(321) 501-7928
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Enumeration date
12/22/2018
Last updated
12/22/2018
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