Individual
MARISSA MICHELLE OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LN, CNS
Contact information
Practice address
3115 BUCHANAN ST NE, MINNEAPOLIS, MN 55418-2252
(612) 978-5124
Mailing address
3115 BUCHANAN ST NE, MINNEAPOLIS, MN 55418-2252
(612) 978-5124
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N236
MN
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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