Whalio Doctors

NPI 1649819574

Olive Seed LLC

Organisation Public Health & General Preventive Medicine Physician Detroit, MI

Practice location

Address
3179 Franklin St, Detroit, MI 48207-4201
Phone
(313) 757-0993
Mailing address
25050 Constitution Ave, Warren, MI 48089-2080

Authorised official

Name
Latricia Wright
Title
Nutritionist
Phone
(313) 757-0993

Registered specialties

Public Health & General Preventive Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

Registry record

NPI
1649819574
Entity type
Organization
NPI issued
23 Dec 2019
Record last updated
23 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.