| Doctor Name: | MRS. MELANIE FONTAINE LARSON |
| NPI Number: | 1932262284 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, RD |
| License Number: | |
| Business Practice Address: | 5900 State Farm Dr Rohnert Park, CA - 949282149 |
| Business Phone Number: | 7072063212 |
| Business Fax Number: | 7072063041 |
| Mailing Address: | 1913 Alpine Ct, PETALUMA |
| State: | CA |
| Postal Code: | 949548589 |
| Phone Number: | 7077829667 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |