Individual
MRS. ELLEN Y. OLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4072 HURON AVE, CULVER CITY, CA 90232-4017
(408) 829-9419
Mailing address
4072 HURON AVE, CULVER CITY, CA 90232-4017
(408) 829-9419
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
729194
CA
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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