Evangelina Dori Olson, BSW
Student in an Organized Health Care Education/Training Program in Stockton, CA. Individual provider (NPI-1).
NPI number1396220331
StatusActive
Last updated in NPPESJul 6, 2020
Details
- NPI
- 1396220331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Evangelina Dori Olson
- Credential
- BSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2018
- Certification date
- Jul 6, 2020
- Last updated
- Jul 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Other names
- Evangelina Dori Solano Rosas (Former Name)
Practice location
1803 W March Ln Ste C&DStockton, CA 95207-6414
Phone 209-636-5353 · Fax 209-636-5354
Mailing address
1803 W March Ln Ste C&DStockton, CA 95207-6414
Phone 209-636-5353 · Fax 209-636-5354
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