Individual
OLIVIA DANIELLE FRUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-3204
(502) 732-3213
Mailing address
4228 HILLBROOK DR, LOUISVILLE, KY 40220-3656
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2367
KY
Other
Enumeration date
09/07/2011
Last updated
11/02/2011
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