Individual
MELISSA HEDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS NTP
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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