Individual
GEORGE LEO R OLARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3417 W CANOGA PL APT 1, ANAHEIM, CA 92804-2752
(714) 851-6109
Mailing address
3417 W CANOGA PL APT 1, ANAHEIM, CA 92804-2752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95008856
CA
Other
Enumeration date
04/21/2018
Last updated
04/21/2018
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