Individual
MIRIAM ALEJANDRA OLIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 335-7300
Mailing address
51332 KARLUK AVE, KENAI, AK 99611-8789
(907) 598-7707
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750718
—
AK
Enumeration date
10/03/2024
Last updated
06/19/2025
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