Individual
MELINDA MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 312-2489
Mailing address
2606 ALVARADO DR, BELLINGHAM, WA 98229-8876
(618) 445-1921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60761427
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI60761427
WA STATE LICENSE
WA
Enumeration date
02/26/2019
Last updated
02/26/2019
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