Individual
MELODY OAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
21731 N 86TH LN, PEORIA, AZ 85382-2497
(602) 469-3645
(623) 321-1616
Mailing address
21731 N 86TH LN, PEORIA, AZ 85382-2497
(602) 469-3645
(623) 321-1616
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
501001
AZ
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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