Individual
DR. JONATHAN DAVID OLENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2102 JACARANDA CT., SAN BERNARDINO, CA 92404-3300
(909) 754-3877
Mailing address
2102 JACARANDA CT., SAN BERNARDINO, CA 92404-3300
(909) 754-3877
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
GFE15638
CA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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