Individual
MELISSA CAROL GLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
1702 SOUTH UNIVERSITY DRIVE, MEDICAL STAFF SERVICES, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1274
ND
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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