Individual
MELANIE GRACE BASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6835 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3189
(512) 346-6611
Mailing address
439 DRURY LN, AUSTIN, TX 78737-4669
(512) 659-3090
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83808
TX
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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