Individual
MRS. LOURDES OLIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1101 N CHERRY ST, TULARE, CA 93274-2231
(559) 685-4345
(559) 685-4635
Mailing address
1201 N CHERRY ST, TULARE, CA 93274-2233
(559) 685-4622
(559) 686-2375
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13566
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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