Most Relevant Information
Provider Data
| NPI Number: | 1003367673 |
| Provider Name: | MELANIE BEASLEY RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 1830 |
Most Important Dates
| Enumeration Date: | 10/19/2016 |
| Last Updated: | 10/19/2016 |
Provider Practice Location
461 STONEWOOD LN
BURNSVILLE
MN
553062503
Practice Location Phone/Fax
| Phone: | 9524841137 |
| Fax: |
Provider Mailing Location
461 STONEWOOD LN
BURNSVILLE
MN
553062503
Provider Mailing Phone/Fax
| Phone: | 9524841137 |
| Fax: |