Individual
MELISSA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86314
(928) 759-5821
(928) 759-5827
Mailing address
1003 WILLOW CREEK RD., PRESCOTT, AZ 86314
(928) 759-5821
(928) 759-5827
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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