Individual
MELOVEE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 GRETEL TER, BALLSTON LAKE, NY 12019-2221
(518) 982-8724
Mailing address
20 GRETEL TER, BALLSTON LAKE, NY 12019-2221
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
012102-01
NY
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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