Olivia South, | |
52 Howard Ave, Jamestown, NY 14701-4324 | |
(716) 969-8746 | |
Not Available |
Full Name | Olivia South |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 52 Howard Ave, Jamestown, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386357242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 345538 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Olivia South, 52 Howard Ave, Jamestown, NY 14701-4324 Ph: (716) 969-8746 | Olivia South, 52 Howard Ave, Jamestown, NY 14701-4324 Ph: (716) 969-8746 |
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