Individual
LAURA MARIE OLVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 6TH ST, RAYMOND, WA 98577-2503
(360) 280-4414
Mailing address
4741 PLOVER ST NE, OLYMPIA, WA 98516-4531
(619) 493-7386
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
46-1009805
WA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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