Individual
MRS. STACY LYNN OLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FUNCTIONAL NUTRITION
Contact information
Practice address
21819 MANSFIELD BLUFF LN, SPRING, TX 77379
(281) 940-6165
Mailing address
2211 RAYFORD RD SUITE 111-8, SPRING, TN 77386
(281) 940-6165
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
227008019
IL
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
Primary
MT119345
TX
Other
Enumeration date
02/12/2010
Last updated
07/21/2022
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