Individual
JENNIFER OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
5444 DIAMOND ST, PHILA, PA 19131-3111
(267) 545-8573
Mailing address
5444 DIAMOND ST, PHILA, PA 19131-3111
(267) 545-8573
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
A3L5H7M8
PA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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