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Organization

OLYMPUS SOLUTIONS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NIA K TEREZAKIS M.D. (CEO)
(505) 676-8845
Entity
Organization

Contact information

Practice address
1134 S CLEARVIEW PKWY, SUITE D-133, HARAHAN, LA 70123-2399
(504) 676-8845
(504) 335-0740
Mailing address
1134 S CLEARVIEW PKWY, SUITE D-133, HARAHAN, LA 70123-2399
(504) 676-8845
(504) 335-0740

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
010404
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010404
LICENCE
LA
Enumeration date
09/15/2010
Last updated
09/15/2010
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