| NPI | 1710600358 |
|---|---|
| Doing Business As | OLIVE CLINIC AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN ONUEKWUSI Owner Of Entity 240-416-3684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2023-08-17 |