Individual
MRS. ANDREA MARISSA OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3280 PROFESSIONAL DR, AUBURN, CA 95602-2412
(530) 886-8630
(530) 886-8629
Mailing address
3280 PROFESSIONAL DR, AUBURN, CA 95602-2412
(530) 886-8630
(530) 886-8629
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64496
CA
Other
Enumeration date
05/18/2024
Last updated
11/14/2024
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