Individual
OLIVIA WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAS
Contact information
Practice address
1756 US HIGHWAY 90 W STE 3, DEFUNIAK SPRINGS, FL 32433-1449
(850) 892-7343
Mailing address
1756 US HIGHWAY 90 W STE 3, DEFUNIAK SPRINGS, FL 32433-1449
(850) 892-7343
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5401
FL
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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