Individual
DANA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 SAN PEDRO DR, ALAMOGORDO, NM 88310-9557
(509) 899-2415
Mailing address
52 SAN PEDRO DR, ALAMOGORDO, NM 88310-9557
(509) 899-2415
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
10/19/2016
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