SearchIdaho103TC0700X

Olesya Mussman

NPI 1841845682 · on the registry since 2019 · sole proprietor

Practice

Address
435 Larch St
Onaway, ID 83855
Phone
(509) 730-5090
Fax
(509) 553-8002

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
101YM0800X
103TC1900X
Licence states on file
ID, WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho