Olon Wafer Valid NPI
Individual provider · Case Manager/Care Coordinator · Needles, CA
- NPI
- 1265892806
- Type
- Individual (Type 1)
- Primary specialty
- Case Manager/Care Coordinator
- Specialty group
- Other Service Providers
- Taxonomy code
- 171M00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-02-24
- Last updated
- 2016-02-24
Practice location
1600 Bailey Ave Ste 2
Needles, CA 92363-3105
(760) 326-9313