Individual
OLIVIA ROSE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3860 E TANO ST, PHOENIX, AZ 85044-3841
(480) 236-1606
Mailing address
3860 E TANO ST, PHOENIX, AZ 85044-3841
(480) 236-1606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
253638
AZ
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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