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Individual

MRS. AMY BLEASE MELANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
1025 AUBURN CT, ALAMEDA, CA 94502-6901
(510) 814-0282
Mailing address
1025 AUBURN CT, ALAMEDA, CA 94502-6901
(510) 814-0282

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
863256
133V00000X
Registered Dietitian
DT80977
TX

Other

Enumeration date
09/15/2011
Last updated
09/15/2011
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