Individual
CHRISTOPHER OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(575) 200-0850
Mailing address
PO BOX 2785, ESPANOLA, NM 87532-4785
(575) 200-0850
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
03/08/2023
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