Individual
MS. DINA RENEE OLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
1004 CARBON, TRINIDAD, CO 81082-3664
(719) 846-4482
Mailing address
1004 CARBON, TRINIDAD, CO 81082-3664
(719) 846-4482
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ACB6686
CO
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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