Individual
OLIVIA GRACE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1000 GATTIS SCHOOL RD STE 150, ROUND ROCK, TX 78664
(512) 609-0651
Mailing address
1000 GATTIS SCHOOL RD STE 150, ROUND ROCK, TX 78664-2566
(512) 609-0651
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1514
SC
Other
Enumeration date
06/12/2019
Last updated
06/15/2022
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