Most Relevant Information
Provider Data
| NPI Number: | 1003048273 |
| Provider Name: | MICHELLE MONIQUE OLVERA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/20/2009 |
| Last Updated: | 03/10/2011 |
Provider Practice Location
2901 MEADOW LARK DR
SAN DIEGO
CA
921232711
Practice Location Phone/Fax
| Phone: | 8586944381 |
| Fax: |
Provider Mailing Location
7798 STARLING DR STE 314
SAN DIEGO
CA
921234231
Provider Mailing Phone/Fax
| Phone: | 8584922335 |
| Fax: | 8584922380 |