LATARIUS OLIVER

MONTGOMERY, AL
NPI1194355602
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL  S12731)
Enumeration Date2020-01-23
Last Update Date2020-01-23
Business Address
LATARIUS OLIVER
607 MOONLIGHT CT
MONTGOMERY, AL 36117-3974
Phone number: 334-224-4903
Mailing Address
LATARIUS OLIVER
607 MOONLIGHT CT
MONTGOMERY, AL 36117-3974
Phone number:
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