Individual
NGALIMA AGNES OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6402 JACOBS WAY, MADISON, WI 53711-3209
(608) 276-7985
Mailing address
6402 JACOBS WAY, MADISON, WI 53711-3209
(608) 276-7985
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
35051800
WI
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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