Individual
MS. JANICE ANN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
4393 DATE AVE, LA MESA, CA 91941-6412
(619) 518-4812
Mailing address
4393 DATE AVE, LA MESA, CA 91941-6412
(619) 518-4812
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
786506
CA
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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