Individual
MS. LAREN OLIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
3380 STURTEVANT ST, SAN DIEGO, CA 92136-6935
(619) 532-8274
Mailing address
3380 STURTEVANT ST, SAN DIEGO, CA 92136-5041
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
02/19/2021
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