Doctor Name: | MELODY BOJANG |
NPI Number: | 1598052078 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFCS, RD, LDN |
License Number: | 2012030061 |
Business Practice Address: | 210 S Mclean Blvd 1 Memphis, TN - 381046161 |
Business Phone Number: | 9194555585 |
Business Fax Number: | |
Mailing Address: | 210 S Mclean Blvd, 1 MEMPHIS |
State: | TN |
Postal Code: | 381046161 |
Phone Number: | 9194555585 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2011 |
NPI Last Update Date: | 09/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2012030061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |