Individual
ANAIS OLIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
817 E GANNON AVE, ZEBULON, NC 27597-9350
(919) 375-1975
Mailing address
817 E GANNON AVE, STE 104, ZEBULON, NC 27597-9309
(919) 375-1975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001007062
NC
Other
Enumeration date
02/14/2017
Last updated
05/12/2017
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