JOHNATHON OLIVAS

LANSING, MI
NPI1225829484
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5151017548)
Enumeration Date2025-05-15
Last Update Date2025-05-15
Business Address
JOHNATHON OLIVAS DO
2900 COLLINS RD
LANSING, MI 48910-8394
Phone number: 517-975-6000
Mailing Address
JOHNATHON OLIVAS DO
2900 COLLINS RD
LANSING, MI 48910-8394
Phone number:
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