Individual
BRIDGET OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10833 LE CONTE AVE, MDCC ROOM A2-410, LOS ANGELES, CA 90095-3075
(310) 825-6708
Mailing address
1647 S BUNDY DR APT 211, LOS ANGELES, CA 90025-2635
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
21287
CA
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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