Individual
NANCY OLIVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35746 HARPER AVE, CLINTON TWP, MI 48035-3212
(813) 455-9621
Mailing address
5111 BERNADETTE DR, ZEPHYRHILLS, FL 33541-1998
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA 4597
FL
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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