Individual
MELISSA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
(269) 408-4322
Mailing address
4165 HAILEY DR, SAINT JOSEPH, MI 49085-9535
(517) 648-4434
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
07/12/2021
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