Individual
OLIVIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
567 N 5TH ST, TERRE HAUTE, IN 47809-1903
(812) 237-3632
Mailing address
1 SYCAMORE ST APT 320, TERRE HAUTE, IN 47807-2640
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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