Individual
JUANITA OLMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 N LOTAS ST, PORTERVILLE, CA 93257-2901
(559) 788-1200
Mailing address
43 N LOTAS ST STE 2, PORTERVILLE, CA 93257-2901
(559) 788-1200
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
02/23/2022
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