Individual
OLIVIA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3469 NEW HIGHWAY 68, MADISONVILLE, TN 37354-5148
(423) 442-3993
Mailing address
3469 NEW HIGHWAY 68, MADISONVILLE, TN 37354-5148
(423) 442-3993
(423) 442-9468
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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