Individual
CHARLENE OLMSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 BAKER ST E STE A, COSTA MESA, CA 92626-4566
(714) 361-6760
(714) 361-6168
Mailing address
275 EAST BAKER STREET SUITE A, COSTA MESA, CA 92626
(714) 361-6760
(714) 361-6168
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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