Individual
CARLA R OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2390 E CAMELBACK RD STE 130, PHOENIX, AZ 85016-3449
(602) 803-2827
Mailing address
PO BOX 74322, NEW RIVER, AZ 85087-1006
(602) 803-2827
(602) 218-4498
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
10223435
AZ
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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