# OLIVE SEED LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649819574
- **Authorized official:** MRS. LATRICIA WRIGHT (NUTRITIONIST)
- **Authorized official phone:** (313) 757-0993

## Contact information

- **Practice address:** 3179 FRANKLIN ST, DETROIT, MI 48207-4201
- **Practice address phone:** (313) 757-0993
- **Mailing address:** 25050 CONSTITUTION AVE, WARREN, MI 48089-2080
- **Mailing address phone:** (702) 856-6333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/23/2019
- **Last updated:** 12/23/2019