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Individual
MELANIE ALLEN
Active
Individual
MELANIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
720880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
682908
REGISTERED NURSE
CA
01
—
720880
CERTIFIED DIABETIC EDUCATOR
CA
Enumeration date
02/18/2010
Last updated
07/01/2010
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