Individual
SIMONA DOLORES OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
931 W DIAMOND DR, TEMPE, AZ 85283-5417
(480) 239-6432
Mailing address
931 W DIAMOND DR, TEMPE, AZ 85283-5417
(480) 239-6432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP048507
AZ
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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