Individual
MARIE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTP, RWP
Contact information
Practice address
12 NICOLE CT, HAMPTON, VA 23669-1691
(253) 588-1154
Mailing address
PO BOX 3485, HAMPTON, VA 23663-0485
(253) 588-1154
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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