Individual
CORNESHA OLIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2802 DRYDEN DR, 312, MADISON, WI 53704-3118
(608) 886-7546
Mailing address
2802 DRYDEN DR, 312, MADISON, WI 53704-3118
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319361-31
WI
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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