OLIVE BRANCH NUTRITION THERAPY LLC NPI 1205598414

NPI Information

OLIVE BRANCH NUTRITION THERAPY LLC is a health service clinic center in Providence, RI. OLIVE BRANCH NUTRITION THERAPY LLC NPI is 1205598414. The provider is registered as an organization entity type.

The provider's business location address is:

20 MESSER ST # 4
PROVIDENCE, RI
ZIP 02909-006
Phone: (508) 688-0456

The provider's authorized official is Laila Shanaa .
The authorized official title is Owner and has the following contact phone number (508) 688-0456.

The enumeration date for this NPI number is 10/6/2021 and was last updated on 10/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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