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Olivia Danielle Mathisen-Holloman, R.D.N.

Dietitian, Registered in Edmonds, WA. Individual provider (NPI-1).

NPI number1992188155
StatusActive
Last updated in NPPESJul 7, 2015

Details

NPI
1992188155
Entity type
Individual (NPI-1)
Name
Miss Olivia Danielle Mathisen-Holloman
Credential
R.D.N.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 7, 2015
Last updated
Jul 7, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86037656WAYes

Practice location

18720 76th Ave W Apt B
Edmonds, WA 98026-5806

Phone 206-639-0225

Mailing address

18720 76th Ave W Apt B
Edmonds, WA 98026-5806

Phone 206-639-0225

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