MELISSA J MIROTA

LITTLE ROCK, AR
NPI1932795960
Other NameMELISSA J FENTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AR  1888)
Enumeration Date2020-12-14
Last Update Date2020-12-14
Business Address
MELISSA J MIROTA LD
906 N POLK ST
LITTLE ROCK, AR 72205-1731
Phone number: 908-797-5815
Mailing Address
MELISSA J MIROTA LD
906 N POLK ST
LITTLE ROCK, AR 72205-1731
Phone number: 908-797-5815