Individual
MRS. OLIVE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 NW 137TH TER, SUNRISE, FL 33323-5336
(954) 554-9205
Mailing address
2435 NW 137TH TER, SUNRISE, FL 33323-5336
(954) 554-9205
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5192342
FL
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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