Olen Henry NP

NPI 1053704668 - Registered Nurse - 163WE0003X

NPI Details
NPI 1053704668
Gender Male
Enumeration Date 03/07/2015
Last Updated 03/07/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3828 DELMAS TER
CULVER CITY CA, 90232-2713, US
Phone (310) 202-4745
Fax (323) 402-0860
Business Location
3828 DELMAS TER
CULVER CITY CA, 90232-2713, US
Phone (310) 202-4745
Fax (323) 402-0860
Toxanomy
Taxonomy Code 163WE0003X
License State California
License Number 524935
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According to our database, Mr. Olen Henry NP NPI is 1053704668, taxonomy code is 163WE0003X and license number is 524935, license state is located at California. Olen Henry NP physically located at 3828 Delmas Ter, Culver City CA, 90232-2713. NPI Number Olen Henry NP has the Individual type.

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1053704668 NPI number is provided on an as is basis without warranty of any kind. 1053704668 is maintained by the National Plan & Provider Enumeration System. The contents of Olen Henry NP are for informational purposes only.