Samsonova-Jellison, Olga Viktorovna

Samsonova-Jellison, Olga Viktorovna is an sole proprietor health care provider with primary practice located at 3098 Mace Ave Apt C , Costa Mesa CA 92626-2546. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, which is considered as her primary health care specialty. Samsonova-Jellison, Olga Viktorovna can be contacted via phone (714) 308-1023.

Contact Information

Primary practice address
3098 Mace Ave Apt C Costa Mesa CA 92626-2546
Phone: (714) 308-1023
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X 09262

Profile Details

NPI number 1750816211
LBN Legal business name Samsonova-Jellison, Olga Viktorovna
Credentials MT-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2017
Last updated Apr 21st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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