Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | D0073471 | MD |
N | 208000000X | Pediatrician | 51447-020 | WI |
NPI | 1093988552 |
---|---|
Provider Name | Dr. Jaime Patricia Olenec |
First Address | Annapolis, MD 21401-3282 |
Second Address | Annapolis, MD 21401-3282 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2008 |
Last Update Date | 15/09/2016 |