Individual
LATINA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9846 HIGHWAY 31 E, TYLER, TX 75705-2329
(903) 592-8001
Mailing address
9846 HIGHWAY 31 E, TYLER, TX 75705-2329
(903) 592-8001
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
314553
TX
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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