Individual
OLIVIA FEASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., CSG , L.D.
Contact information
Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 675-3837
Mailing address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 675-3837
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
150
WY
133VN1101X
Gerontological Nutrition Registered Dietitian
Primary
150
WY
Other
Enumeration date
09/11/2014
Last updated
11/26/2019
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