Individual
MIA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1160 PARKWAY DR STE AB, SANTA FE, NM 87507-7322
(505) 983-6158
Mailing address
PO BOX 449, TESUQUE, NM 87574-0449
(505) 983-6158
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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