Individual
MELISSA K BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104
(215) 519-9537
Mailing address
2743 PETTIT LANE, PENNSAUKEN, NJ 08109
(856) 952-1058
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
03/17/2018
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