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Elizabeth A Olson

Community Health Worker in Ukiah, CA. Individual provider (NPI-1).

NPI number1801464151
StatusActive
Last updated in NPPESMay 10, 2023

Details

NPI
1801464151
Entity type
Individual (NPI-1)
Name
Elizabeth A Olson
Sex
Female
Sole proprietor
No
Enumeration date
Jun 14, 2021
Certification date
May 10, 2023
Last updated
May 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
106S00000X Behavior Technician––

Practice location

169 Mason St
Ukiah, CA 95482-4482

Phone 707-463-3300

Mailing address

169 Mason St
Ukiah, CA 95482-4482

Phone 707-463-3300

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