Individual
GWENIVERE STANTON OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(909) 702-3935
Mailing address
40 OBERY ST, ATTN: KRISTY GLAVIN, BETH ISRAEL DEACONESS OBGYN, PLYMOUTH, MA 02360-2196
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN2301907
MA
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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