Individual
MISS IFY OLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1378 RIVER ST, HYDE PARK, MA 02136-2121
(310) 780-1998
Mailing address
1378 RIVER ST, HYDE PARK, MA 02136-2121
(310) 780-1998
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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