Individual
CRISELDA OLIVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 S HWY 359, MATHIS, TX 78368-3326
(361) 947-5257
Mailing address
1010 S HWY 359, MATHIS, TX 78368-3326
(361) 937-7887
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
176571
TX
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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