Individual
MISS OLIVIA DANIELLE MATHISEN-HOLLOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N.
Contact information
Practice address
18720 76TH AVE W APT B, EDMONDS, WA 98026-5806
(206) 639-0225
Mailing address
18720 76TH AVE W APT B, EDMONDS, WA 98026-5806
(206) 639-0225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86037656
WA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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