Most Relevant Information
Provider Data
| NPI Number: | 1003070996 |
| Provider Name: | KAREN OLSEN HALL BS RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/10/2008 |
| Last Updated: | 07/10/2008 |
Provider Practice Location
2332 HALL DR
LAKESIDE
AZ
859295604
Practice Location Phone/Fax
| Phone: | 9282425098 |
| Fax: |
Provider Mailing Location
PO BOX 3769
PINETOP
AZ
859353769
Provider Mailing Phone/Fax
| Phone: | 9282425098 |
| Fax: |