Individual
JULIANN MELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-3716
Mailing address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
723266
NY
Other
Enumeration date
09/21/2006
Last updated
10/24/2024
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