Individual
NICOLE OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9428 ECKLEY PL, CORDOVA, TN 38018-7162
(812) 480-4761
Mailing address
600 JEFFERSON AVE, MEMPHIS, TN 38105-4934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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