Individual
DIANE MELANCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND13468
Contact information
Practice address
1316 SWILLEY RD, PLANT CITY, FL 33567-3255
(813) 310-3831
Mailing address
1316 SWILLEY RD, PLANT CITY, FL 33567-3255
(813) 310-3831
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
ND13468
FL
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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