Individual
ANYSIA VICTORIA OLAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3745 W CHAPMAN AVE STE 100, ORANGE, CA 92868-1656
(562) 665-4155
Mailing address
1423 ALABAMA ST APT G, HUNTINGTON BEACH, CA 92648-3546
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP95014665
CA
Other
Enumeration date
10/04/2020
Last updated
06/08/2022
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