Individual
SARA OLSON-WIENCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1225 W 190TH ST STE 280, GARDENA, CA 90248-4305
(310) 515-8113
Mailing address
12301 WILSHIRE BLVD STE 512, LOS ANGELES, CA 90025-1053
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95022522
CA
Other
Enumeration date
10/11/2022
Last updated
05/29/2023
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