Mario Olivares II

NPI 1609071430 - Counselor - 101YM0800X

NPI Details
NPI 1609071430
Gender Male
Enumeration Date 06/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12 W BEACH ST
WATSONVILLE CA, 95076-4504, US
Phone (831) 763-8990
Fax
Business Location
1400 EMELINE AVE
SANTA CRUZ CA, 95060-1976, US
Phone (831) 763-8990
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mario Olivares II NPI is 1609071430, taxonomy code is 101YM0800X Mario Olivares II physically located at 12 W Beach St, Watsonville CA, 95076-4504. NPI Number Mario Olivares II has the Individual type.

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1609071430 NPI number is provided on an as is basis without warranty of any kind. 1609071430 is maintained by the National Plan & Provider Enumeration System. The contents of Mario Olivares II are for informational purposes only.