Individual
RICHARD MANUEL OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11016 SARATOGA RD, APPLE VALLEY, CA 92308-9431
(760) 240-7225
(760) 240-2723
Mailing address
11016 SARATOGA RD, APPLE VALLEY, CA 92308-9431
(760) 240-7225
(760) 240-2723
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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