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Individual
OLYMPIA TREJO
Active
Individual
OLYMPIA TREJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70042F
COUNTY OF SANTA CRUZ MEDI-CAL PROVIDER
CA
01
—
FHC70044F
COUNTY OF SANTA CRUZ MEDI-CAL PROVIDER
CA
01
—
ZZZ91892Z
COUNTY OF SANTA CRUZ MEDICARE GROUP
CA
Enumeration date
11/02/2010
Last updated
11/02/2010
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