Individual
MRS. MARYANN OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
4604 NORTH TONGASS, KETCHIKAN, AK 99901
(907) 225-2001
(907) 225-2002
Mailing address
4604 NORTH TONGASS, P.O.BOX 9476, KETCHIKAN, AK 99901
(907) 225-2001
(907) 225-2002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
5599
AK
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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