FATISHA LARCENIA MALIK OLIVER

CLEVELAND, OH
NPI1700165552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN.144072-M-IV)
Enumeration Date2011-08-10
Last Update Date2011-08-10
Business Address
Ms. FATISHA LARCENIA MALIK OLIVER LPN
3861 E 153RD ST
CLEVELAND, OH 44128-1111
Phone number: 216-386-6895
Mailing Address
Ms. FATISHA LARCENIA MALIK OLIVER LPN
3861 E 153RD ST
CLEVELAND, OH 44128-1111
Phone number: 216-386-6895
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