Individual
MRS. MELINDA SULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, RD, LD
Contact information
Practice address
1823 E KIMBERLY RD, DAVENPORT, IA 52807-2027
(563) 359-9323
Mailing address
1823 E KIMBERLY RD, DAVENPORT, IA 52807-2027
(563) 359-9323
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
080777
IA
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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