Individual
CARLA V OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1536 14TH AVE SE, RIO RANCHO, NM 87124-3551
(505) 285-3454
Mailing address
1536 14TH AVE SE, RIO RANCHO, NM 87124-3551
(505) 285-3454
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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