Matt Olivencia
NPI #1205920386 in Alameda, California
Provider Information
- NPI Number
- 1205920386
- Entity Type
- Individual
- Name
- Matt Olivencia
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 EAGLE RD
- Address 2
- HEALTH SERVICE DEPT.
- City
- Alameda
- State
- California
- ZIP Code
- 94501-5100
- Phone
- (510) 437-3582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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