Provider Demographics
NPI:1598379356
Name:OLIVER, JULIA WORKOWSKI (RD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:WORKOWSKI
Last Name:OLIVER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:WORKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:4700 EADES ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-3022
Mailing Address - Country:US
Mailing Address - Phone:540-520-8917
Mailing Address - Fax:
Practice Address - Street 1:4700 EADES ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-3022
Practice Address - Country:US
Practice Address - Phone:540-520-8917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX4780133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic