Individual
JAMA'L OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTER BARBER
Contact information
Practice address
2038 TYNEWOOD DR, CLARKSVILLE, TN 37042-5285
(931) 896-9533
Mailing address
2038 TYNEWOOD DR, CLARKSVILLE, TN 37042-5285
(931) 896-9533
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19272
TN
Other
Enumeration date
11/12/2017
Last updated
11/12/2017
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