Provider Demographics
NPI:1881832673
Name:OLES, DAWN MARIE (CCP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:OLES
Suffix:
Gender:F
Credentials:CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2418 LEGACY ISLAND CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-6155
Mailing Address - Country:US
Mailing Address - Phone:702-524-5355
Mailing Address - Fax:
Practice Address - Street 1:2418 LEGACY ISLAND CIR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-6155
Practice Address - Country:US
Practice Address - Phone:702-524-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist