Individual
MELANIE DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1655 N 200 E, NORTH LOGAN, UT 84341-1945
(435) 753-7500
Mailing address
PO BOX 212, NEWTON, UT 84327-0212
(435) 799-4412
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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