Individual
AMANDA OLIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 E ROMA AVE, PHOENIX, AZ 85016-5413
(602) 748-6197
Mailing address
3621 W MEADOWBROOK AVE, PHOENIX, AZ 85019-3217
(602) 748-6197
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AZ
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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