Individual
MARILYN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1950 3RD ST, LA VERNE, CA 91750-4401
(909) 593-3511
(909) 392-2760
Mailing address
1950 3RD ST, LA VERNE, CA 91750-4401
(909) 593-3511
(909) 392-2760
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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