Individual
MRS. MARTY OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
149 STONINGTON WAY, FOLSOM, CA 95630-6844
(916) 539-4982
Mailing address
149 STONINGTON WAY, FOLSOM, CA 95630-6844
(916) 539-4982
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
07/11/2024
Last updated
01/13/2025
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