Individual
MELISSA LYNN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.C.D.
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-3006
Mailing address
711 BENTON ST, MISHAWAKA, IN 46545-5947
(574) 596-2145
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000253A
IN
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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