Individual
LAURA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
511 W SAN MATEO RD, SANTA FE, NM 87505-4027
(505) 983-1234
(844) 450-2837
Mailing address
PO BOX 22187, SANTA FE, NM 87502-2187
(505) 983-1234
(844) 450-2837
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
465
NM
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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