Individual
MRS. MELISSA ANNE FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN, IBCLC
Contact information
Practice address
44 SHERMAN PL, JERSEY CITY, NJ 07307-3028
(716) 860-5902
Mailing address
44 SHERMAN PL, JERSEY CITY, NJ 07307-3028
(716) 860-5902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007327
NY
174N00000X
Lactation Consultant (Non-RN)
L-42314
NY
Other
Enumeration date
01/05/2012
Last updated
04/19/2023
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