Individual
JEROME THRESHER OLSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24321 COUNTY ROAD 96, DAVIS, CA 95616-9532
(530) 753-1653
Mailing address
1306 WHITTIER DR, DAVIS, CA 95618-1429
(530) 753-1653
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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