Individual
MELISSA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16114 TERNGLADE DR, LITHIA, FL 33547-5858
(716) 982-3289
Mailing address
16114 TERNGLADE DR, LITHIA, FL 33547-5858
(716) 982-3289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND9326
FL
Other
Enumeration date
07/28/2022
Last updated
02/28/2023
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