Individual
COLEEN MARIE OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24303 WOOLSEY CANYON RD, WEST HILLS, CA 91304-1130
(818) 516-7653
Mailing address
10523 TOPANGA CANYON BLVD, CHATSWORTH, CA 91311-2033
(818) 516-7653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81214
—
CA
Enumeration date
09/09/2019
Last updated
09/09/2019
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