Individual
MRS. REGINA ANN OLIVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T
Contact information
Practice address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2775
Mailing address
755 SPYGLASS DR, RED BLUFF, CA 96080-4713
(530) 527-8206
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
31380
CA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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