Individual
GLENN OLIVIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31913 CALLE EL POTRERO, PAUMA VALLEY, CA 92061-9724
(619) 840-1800
Mailing address
993 POSTAL WAY, VISTA, CA 92083-6945
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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