Individual
AIRAM OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11799 SEBASTIAN WAY STE 103, RANCHO CUCAMONGA, CA 91730-0708
(909) 353-7547
Mailing address
51785 AVENIDA RAMIREZ, LA QUINTA, CA 92253-6115
(760) 699-1341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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