Individual
AMANDA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
449 W DUNN AVE, FRESNO, CA 93706-1716
(559) 930-2568
Mailing address
449 W DUNN AVE, FRESNO, CA 93706-1716
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
229984
CA
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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