Individual
MR. OLIVER HAROLD RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 771-1800
Mailing address
PO BOX 1194, TRURO, MA 02666-1194
(415) 425-7305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2259913
MA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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