Individual
BRIDGETTE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 HWY 138, CRESTLINE, CA 92325-6300
(909) 336-6300
Mailing address
PO BOX 6300, CRESTLINE, CA 92325-6300
(909) 336-3330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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