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Olivia Derise
Student in an Organized Health Care Education/Training Program in Jefferson, Louisiana
NPI 1174266738

Olivia Derise is a Student in an Organized Health Care Education/Training Program based in Jefferson, LA. Olivia Derise practices in Jefferson, LA. The NPI Number for Olivia Derise is 1174266738 and holds a License No. (Louisiana).

The current practice location address for Olivia Derise is 1514 Jefferson Hwy, Jefferson, LA and can be reached out via phone at 337-277-5209.

Location: 1514 Jefferson Hwy, Jefferson, LA, 70121-2429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174266738
Provider Name
Olivia Derise
Credential
Provider Entity Type
Individual
Gender
Female
Address
1514 Jefferson Hwy, Jefferson, LA, 70121-2429
Phone Number
337-277-5209
Fax Number
Provider Enumeration Date
04/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1514 Jefferson Hwy
City
Jefferson
State
Louisiana
Zip
70121-2429
Phone Number
337-277-5209
Fax Number
person
Provider Business Mailing Address Details
Address
1514 Jefferson Hwy
City
Jefferson
State
Louisiana
Zip
70121-2429
Phone Number
337-277-5209
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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