Individual
STANLEY OLIVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 JEFFERSON BLVD STE 4, WARWICK, RI 02888-3847
(401) 423-4433
(401) 204-1100
Mailing address
222 JEFFERSON BLVD STE 4, WARWICK, RI 02888-3847
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01674
RI
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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