Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 20-1905 | AZ |
NPI | 1003413295 |
---|---|
Provider Name | Dr. Melanie Louise Fiorillo |
First Address | Scottsdale, AZ 85257-2475 |
Second Address | Goodyear, AZ 85395-1253 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2020 |
Last Update Date | 01/10/2020 |