Individual
JENNIFER ANN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 52ND STREET, CHRCO ENDOCRINOLOGY, OAKLAND, CA 94609-1809
(510) 428-3654
(510) 450-5614
Mailing address
747 52ND STREET, CHILDRENS HOSPITAL AND RESEARCH CENTER OF OAKLAND ENDOC, OAKLAND, CA 94609-1809
(510) 428-3654
(510) 450-5614
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
A055142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A551420
—
CA
Enumeration date
07/28/2006
Last updated
07/08/2007
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