Individual
MELISSA GISLER MODANLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2541 WASHINGTON ST, SAN FRANCISCO, CA 94115-1818
(415) 279-4555
Mailing address
2541 WASHINGTON ST, SAN FRANCISCO, CA 94115-1818
(415) 279-4555
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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