Individual
MR. JOSE ANJEL OLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
880 E. IDAHO AVE, LAS CRUCES, NM 88001
(575) 527-7910
(575) 527-4457
Mailing address
385 CALLE DE ALEGRA, STE A, LAS CRUCES, NM 88005
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
05
—
74481
—
NM
Enumeration date
03/31/2014
Last updated
01/19/2016
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