Doctor Name: | MRS. MELINDA CHARLET |
NPI Number: | 1043532146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | |
Business Practice Address: | 720 S River Rd Suite D-1100 Saint George, UT - 847905507 |
Business Phone Number: | 4356733556 |
Business Fax Number: | 4356563968 |
Mailing Address: | 720 S River Rd, Suite D-1100 SAINT GEORGE |
State: | UT |
Postal Code: | 847905507 |
Phone Number: | 4356733556 |
Fax Number: | 4356563968 |
NPI Enumeration Date: | 02/17/2010 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1005X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Renal |
Taxonomy Definition: |