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Organization
OLIVE TREE WELLNESS CENTER, INC
Active
Organization
OLIVE TREE WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA ROUSSOS DO (OWNER)
(209) 723-0019
Entity
Organization
Contact information
Practice address
1146 OLIVEWOOD DR, MERCED, CA 95348-1210
(209) 723-0019
(415) 946-3489
Mailing address
PO BOX 2718, MERCED, CA 95344-0718
(209) 723-0019
(415) 946-3489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A8409
CA
Other
Enumeration date
06/29/2008
Last updated
04/02/2012
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