Angeles Olivarez
Physician Assistant, Medical in San Luis, AZ. Individual provider (NPI-1).
NPI number1316601552
StatusActive
Last updated in NPPESFeb 28, 2023
Details
- NPI
- 1316601552
- Entity type
- Individual (NPI-1)
- Name
- Angeles Olivarez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2021
- Certification date
- Feb 15, 2023
- Last updated
- Feb 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
815 E. Cesar Chavez BlvdSan Luis, AZ 85349
Phone 928-627-3822 · Fax 928-627-3989
Mailing address
3071 S Brand Lee WayYuma, AZ 85365-5109
Phone 602-832-4462
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