Individual
THOMAS MELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, LDN, CNSC
Contact information
Practice address
11220 N RADNER WAY, RALEIGH, NC 27613-5530
(919) 213-0161
Mailing address
11220 N RADNER WAY, RALEIGH, NC 27613-5530
(919) 213-0161
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005168
NC
Other
Enumeration date
03/18/2020
Last updated
12/07/2021
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