Guided Fork Llc

NPI 1053717611 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1053717611
Enumeration Date 11/10/2014
Last Updated 11/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name OLIVIA CATHERINE OLIVIA
Position OWNER
Phone (307) 751-4264
Fax
Practice Location
37 S MAIN ST
SHERIDAN WY, 82801-4221, US
Phone (307) 751-4264
Fax
Business Location
3482 HWY 87
SHERIDAN WY, 82801-9558, US
Phone (307) 751-4264
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Wyoming
License Number 150
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According to our database, Guided Fork Llc NPI is 1053717611, taxonomy code is 133V00000X and license number is 150, license state is located at Wyoming. Guided Fork Llc physically located at 37 S Main St, Sheridan WY, 82801-4221. NPI Number 1033115704 has the healthcare provider type.

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1053717611 NPI number is provided on an as is basis without warranty of any kind. 1053717611 is maintained by the National Plan & Provider Enumeration System. The contents of Guided Fork Llc are for informational purposes only.