Organization
OLIVIA COX NUTRITION LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA COX (OWNER)
(208) 421-8695
Entity
Organization
Contact information
Practice address
115 BROOKLANE N, TWIN FALLS, ID 83301-0005
(208) 421-8695
Mailing address
115 BROOKLANE N, TWIN FALLS, ID 83301-0005
(208) 421-8695
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376215905
—
ID
Enumeration date
12/06/2023
Last updated
12/08/2023
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