Individual
LORRAINE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3005 GIDDING ST, CLOVIS, NM 88101-3672
(575) 993-9258
Mailing address
3005 GIDDING ST, CLOVIS, NM 88101-3672
(575) 993-9258
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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