Individual
MRS. JENNIFER LYNN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 8TH AVE NE APT 103, ISANTI, MN 55040-4585
(763) 257-4376
Mailing address
22716 3RD ST NE, EAST BETHEL, MN 55005-9519
(763) 257-4376
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
MN
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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