Individual
MELINDA ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 N MAPLE AVE, NEW HAMPTON, IA 50659-1142
(641) 394-4121
Mailing address
PO BOX 1894, MASON CITY, IA 50402-1894
(641) 494-3041
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
709845
IA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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