MISS Thercy Saint Jean Olivert, LPN

NPI #1093258097 in Corona, New York

Provider Information

NPI Number
1093258097
Entity Type
Individual
Name
MISS Thercy Saint Jean Olivert, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Nov 22, 2016
Last Updated
Nov 22, 2016

Practice Location

Address
9832 57TH AVE APT 11O
City
Corona
ZIP Code
11368-4931
Phone
(516) 450-1807

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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