Individual
MELISSA SUZANNE HETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
465 ACME ST, JACKSONVILLE, FL 32211-7961
(904) 253-2012
Mailing address
900 UNIVERSITY BLVD N, SUITE 606, JACKSONVILLE, FL 32211-9203
(904) 253-2012
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4835
FL
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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