Most Relevant Information
Provider Data
| NPI Number: | 1003543513 |
| Provider Name: | ABBY GAIL OLIVAS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/04/2022 |
| Last Updated: | 09/13/2024 |
Provider Practice Location
1900 WESTRIDGE RD
CARLSBAD
NM
882203550
Practice Location Phone/Fax
| Phone: | 5757255552 |
| Fax: |
Provider Mailing Location
PO BOX 3141
CARLSBAD
NM
882213141
Provider Mailing Phone/Fax
| Phone: | 5757255552 |
| Fax: |