Individual
CARL A OLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9465 RANDOLPH ST, RIVERSIDE, CA 92503-1160
(562) 713-0260
Mailing address
9465 RANDOLPH ST, RIVERSIDE, CA 92503-1160
(562) 713-0260
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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