Individual
MELISSA KATHRYN JODA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
W290N6229 HAWKS LNDG, HARTLAND, WI 53029-9439
(262) 506-4626
Mailing address
W290N6229 HAWKS LNDG, HARTLAND, WI 53029-9439
(262) 506-4626
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86064299
WI
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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