Individual
OLIVIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 N MAIN ST STE C, ALPINE, UT 84004-1477
(801) 900-3174
Mailing address
744 W 2490 N, PLEASANT GROVE, UT 84062-7002
(801) 857-0743
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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