Individual
IRMA VICTORIA OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 464-8024
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
002857
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.206490
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03050097
—
MS
05
—
2346181
—
LA
Enumeration date
01/16/2008
Last updated
09/16/2015
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