Individual
ELLEN MAREEN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
2295 STEVENS AVE, FAIRBANKS, AK 99709-6284
(907) 455-6201
Mailing address
2295 STEVENS AVE, FAIRBANKS, AK 99709-6284
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
7
AK
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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