Individual
MRS. JENNICE OLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15 N 10TH ST, LEBANON, PA 17046-4911
(717) 272-0852
Mailing address
15 N 10TH STREET, LEBANON, PA 17046
(717) 272-0852
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN281819
PA
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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