Individual
MS. JANET OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SFIDC
Contact information
Practice address
6305 RIVERDALE RD, RIVERDALE, MD 20737-2105
(301) 919-5635
Mailing address
6305 RIVERDALE RD, RIVERDALE, MD 20737-2105
(301) 919-5635
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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