Individual
MICHELLE MARIE OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-4667
Mailing address
1 GANLEY DR, SALEM, NH 03079-2477
(603) 898-4192
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
268
NH
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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