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Individual

MELISSA COPELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14934 LANAI DR, BAYTOWN, TX 77523-2438
(713) 906-8018
Mailing address
14934 LANAI DR, BAYTOWN, TX 77523-2438
(713) 906-8018

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06744
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DT06744
DIETITIAN STATE LICENSURE
TX
Enumeration date
02/24/2022
Last updated
02/24/2022
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