Individual
MELISSA FEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
150 N 18TH AVE, PHOENIX, AZ 85007-3232
(602) 364-1492
Mailing address
150 N 18TH AVE, PHOENIX, AZ 85007-3232
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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