Organization
UNTAMED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA MINARDI RD (REGISTERED DIETITIAN, OWNER)
(401) 524-4472
Entity
Organization
Contact information
Practice address
16 HARRISON AVE, SOUTH KINGSTOWN, RI 02879-2305
(401) 524-4472
Mailing address
16 HARRISON AVE, SOUTH KINGSTOWN, RI 02879-2305
(401) 524-4472
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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