Provider Demographics
NPI:1053808733
Name:OLTON, PAMELA ELIZABETH (L AC)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:ELIZABETH
Last Name:OLTON
Suffix:
Gender:F
Credentials:L AC
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Mailing Address - Street 1:455 ARKANSAS STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107
Mailing Address - Country:US
Mailing Address - Phone:415-282-7600
Mailing Address - Fax:415-282-0856
Practice Address - Street 1:450 CONNECTICUT STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118
Practice Address - Country:US
Practice Address - Phone:415-282-9603
Practice Address - Fax:415-282-0856
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC3115171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist