Individual
MARITES OLIVA ROJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 W DEL MONTE DR, 22, ANAHEIM, CA 92804-1463
(714) 624-5228
Mailing address
3401 W DEL MONTE DR, 22, ANAHEIM, CA 92804-1463
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AT6581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A5424211
DRIVERS LICENSE
CA
Enumeration date
06/04/2007
Last updated
07/08/2007
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