Organization
OLIVE BRANCH NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFTHEMIA GRECO RD, LDN (OWNER)
(630) 750-0955
Entity
Organization
Contact information
Practice address
9654 KELLEY LN, HUNTLEY, IL 60142-0058
(630) 750-0955
Mailing address
9654 KELLEY LN, HUNTLEY, IL 60142-0058
(630) 750-0955
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/25/2020
Last updated
05/01/2024
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