Individual
OLIVIA GRACE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1600 W COLLEGE ST STE 190, GRAPEVINE, TX 76051-2100
(817) 305-5061
(817) 305-5013
Mailing address
14155 DALLAS PARKWAY, APT 1148, FARMERS BRANCH, TX 75254
(337) 852-6823
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87897
TX
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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