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Individual

CHELSEY SADIE ISABELLE OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HHA

Contact information

Practice address
19180 WILLOW ST, HESPERIA, CA 92345-5646
(760) 493-0547
Mailing address
19180 WILLOW ST, HESPERIA, CA 92345-5646
(760) 493-0547

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HO43886
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HO43886
CITY
CA
Enumeration date
01/24/2019
Last updated
01/24/2019
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