Individual
CONNIE J OLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.,M.A.
Contact information
Practice address
601 HIGHWAY 6 W, VAMC, IOWA CITY, IA 52246-2292
(319) 338-0581
Mailing address
3126 WELLINGTON DR, IOWA CITY, IA 52240-2865
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00227
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00227
IOWA DIETITIAN LICENSE
IA
Enumeration date
06/06/2006
Last updated
07/08/2007
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