Organization
OLIVE HEALTH AND WELLNESS LLC
Active
Other names
OLIVE HEALTH AND WELLNESS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINA JOEL CEO (ADMINISTRATOR)
(713) 909-6953
Entity
Organization
Contact information
Practice address
1821 N TREKELL RD STE 8, CASA GRANDE, AZ 85122-1705
(713) 909-6955
Mailing address
1821 N TREKELL RD STE 8, CASA GRANDE, AZ 85122-1705
(713) 909-6955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
09/24/2024
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