Individual
OLIVIA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4665 E SUNSET DR, SYRACUSE, IN 46567-9168
(877) 627-8233
Mailing address
4665 E SUNSET DR, SYRACUSE, IN 46567-9168
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA0704687
IN
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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