Individual
MELISSA E WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
68 BLUE BIRCH DR, WYOMING, DE 19934-5203
(618) 531-5710
Mailing address
68 BLUE BIRCH DR, WYOMING, DE 19934-5203
(618) 531-5710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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