Individual
ANALICIA OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 EDGEWATER AVE, CHEYENNE, WY 82009-7311
(307) 637-3952
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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