Individual
FREDRICA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 S NORRELL RD, BOLTON, MS 39041-9761
(601) 906-5698
Mailing address
1545 S NORRELL RD, BOLTON, MS 39041-9761
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
881660
MS
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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