Individual
MELISSA BLANDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSO, LDN
Contact information
Practice address
105 WESLEY RD, GREENVILLE, NC 27858-6532
(252) 917-0764
Mailing address
105 WESLEY RD, GREENVILLE, NC 27858-6532
(252) 917-0764
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
846642
NC
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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