Individual
HEIDI AMANDA OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 N CHERRY ST, PRINCETON, IL 61356-1521
(815) 876-7360
Mailing address
21 N CHERRY ST, PRINCETON, IL 61356-1521
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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