Individual
MELANIE VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15722 TURNER RD, LANSING, MI 48906-1138
(248) 396-1627
Mailing address
15722 TURNER RD, LANSING, MI 48906-1138
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86117949
MI
Other
Enumeration date
04/09/2022
Last updated
04/09/2022
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