Individual
MS. LESLIE O'DANIEL OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,B.S.N.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1631
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0001
(602) 263-1200
(602) 263-1631
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
R49680
CT
163WM0102X
Maternal Newborn Registered Nurse
RN093361
AZ
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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