Olivia Weller, M.D.
Student in an Organized Health Care Education/Training Program in Fresno, CA. Individual provider (NPI-1).
NPI number1124861174
StatusActive
Last updated in NPPESDec 17, 2024
Details
- NPI
- 1124861174
- Entity type
- Individual (NPI-1)
- Name
- Olivia Weller
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2024
- Last updated
- Dec 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
155 N Fresno StFresno, CA 93701
Phone 559-499-6540
Mailing address
155 N Fresno StFresno, CA 93701
Phone 559-499-6540
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