Individual
JERALD OLVIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
Mailing address
9027 SUMMER GROVE CV, CORDOVA, TN 38018-7498
(901) 832-2191
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
22601
TN
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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