Provider Demographics
NPI:1144408386
Name:RHEE, OLIVIA O (OMD, DIPL OM)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:O
Last Name:RHEE
Suffix:
Gender:F
Credentials:OMD, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1995 PARADISE RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-2510
Mailing Address - Country:US
Mailing Address - Phone:702-732-0051
Mailing Address - Fax:702-732-0054
Practice Address - Street 1:1995 PARADISE RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-2510
Practice Address - Country:US
Practice Address - Phone:702-732-0051
Practice Address - Fax:702-732-0054
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1025171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist