Individual
JENNIFER OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17359 W SURPRISE FARMS LOOP N, SURPRISE, AZ 85388-0283
(623) 523-8490
(623) 523-8461
Mailing address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP050893
AZ
Other
Enumeration date
08/10/2015
Last updated
09/04/2015
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