Organization
LIVTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA JAWORSKI MS, RD (REGISTERED DIETITIAN)
(215) 272-7735
Entity
Organization
Contact information
Practice address
231 WASHINGTON AVE, SOUDERTON, PA 18964-1547
(215) 272-7735
Mailing address
231 WASHINGTON AVE, SOUDERTON, PA 18964-1547
(215) 272-7735
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134617129
OLIVIA J FIEO
PA
Enumeration date
01/03/2023
Last updated
01/03/2023
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