Individual
MRS. MAGGIE A OLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MLT
Contact information
Practice address
1115 B ST, PLUMMER, ID 83857-0388
(208) 686-1931
(208) 686-5133
Mailing address
PO BOX 115, ST MARIES, ID 83861-0115
(208) 686-1931
Taxonomy
Speciality
Code
Description
License number
State
246RH0600X
Histology Technician
Primary
AMT 40988
—
Other
Enumeration date
10/19/2005
Last updated
07/08/2007
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