Individual
MISS MELISSA DALE MAXIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
(276) 666-7864
Mailing address
54 JAMES ST, COLLINSVILLE, VA 24078-2282
(804) 350-1142
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
06/21/2011
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