Individual
DIANE R MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N MCMORRINE ST, ELIZABETH CITY, NC 27909-4474
(252) 506-1207
Mailing address
222 IBIS WAY, ELIZABETH CITY, NC 27909-8739
(252) 506-1207
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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