Individual
QUAMIR T OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 BALA AVE, BALA CYNWYD, PA 19004-3209
(484) 425-2522
Mailing address
29 BALA AVE, BALA CYNWYD, PA 19004-3209
(484) 425-2522
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
31426088
PA
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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