Individual
MELISSA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LN
Contact information
Practice address
3200 CANYON LAKE DR, IHS, SIOUX SAN HOSPITAL,, RAPID CITY, SD 57702-8114
(605) 355-2493
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2493
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0390
SD
133V00000X
Registered Dietitian
1018199
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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