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Individual

CHRISTINE OLIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
6800 W CHEYENNE AVE, LAS VEGAS, NV 89108-4590
(702) 482-8387
Mailing address
3629 WILD WILLOW ST, LAS VEGAS, NV 89129-7840
(725) 252-0377

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3778
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP-3778
STATE OF NEVADA SLP LICENSE
NV
Enumeration date
04/28/2025
Last updated
04/28/2025
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