Individual
MS. MELISSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 E ELLIS CIR, MESA, AZ 85203-5704
(760) 975-2451
Mailing address
1326 E ELLIS CIR, MESA, AZ 85203-5704
(760) 975-2451
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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