Individual
AMANDA MELLOWSPRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CEDRD
Contact information
Practice address
708 S MAIN ST, BLACKSBURG, VA 24060-5210
(540) 505-4663
(540) 953-5095
Mailing address
708 S MAIN ST, BLACKSBURG, VA 24060-5210
(540) 505-4663
(540) 953-5095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
953736
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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