Individual
ATHENA M OLIQUIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
6166 E HOMAN AVE, FRESNO, CA 93727-8848
(559) 430-5445
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95012021
CA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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