Individual
OLIVIA M FAGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 RACE ST, CINCINNATI, OH 45202-2347
(855) 699-6937
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
074.0134313
VT
133V00000X
Registered Dietitian
276301
KY
133V00000X
Registered Dietitian
D2229
MS
133V00000X
Registered Dietitian
DN-0010942
DE
133V00000X
Registered Dietitian
DN007782
PA
133V00000X
Registered Dietitian
LD.08944
OH
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/08/2022
Last updated
06/14/2022
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