Individual
MELODY J PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCT, SDNM
Contact information
Practice address
12 KEYSTONE CT, LEOLA, PA 17540-2207
(717) 556-8103
(888) 496-6297
Mailing address
12 KEYSTONE CT, LEOLA, PA 17540-2207
(717) 556-8103
(888) 496-6297
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
L511857
PA
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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