Individual
ALICE TRUJILLO OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3717 MT. PINOS WAY, FRAZIER PARK, CA 93225
(661) 245-0250
(661) 245-0252
Mailing address
3105 WILSON RD, BAKERSFIELD, CA 93304-5319
(661) 397-8775
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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