Individual
MS. MELISSA ANN MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
12606 E MISSION AVE, SPOKANE VALLEY, WA 99216-3421
(509) 924-6650
(509) 473-4916
Mailing address
PO BOX 842151, DALLAS, TX 75284-2151
(509) 458-5800
(509) 473-4926
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001908
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
849762
—
WA
Enumeration date
10/01/2007
Last updated
09/01/2009
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