NPI 1154687523

Bertha W Oliver

Practitioner Home Modifications Contractor Jacksonville, FL

Practice location

Address: 810 van Buren St, Jacksonville, FL 32206-5782
Phone: (904) 610-5548
Fax: (904) 356-2158

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X

Other Contractor providers in Florida →

Registry record

NPI: 1154687523
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2012
Record last updated: 10 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.