Individual
MS. LATOYRIA OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3545 DWYER LN, FLORISSANT, MO 63033-2914
(314) 732-9421
Mailing address
3545 DWYER LN, FLORISSANT, MO 63033-2914
(314) 732-9421
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
07/15/2017
Last updated
01/24/2022
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