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Organization
SHAPE YOUR GRAPE
Active
Organization
SHAPE YOUR GRAPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL J RODRIGUEZ RDN (CEO)
(818) 658-1130
Entity
Organization
Contact information
Practice address
728 CORDOVA AVE, GLENDALE, CA 91206-2114
(818) 472-6616
Mailing address
350 N GLENDALE AVE STE B, GLENDALE, CA 91206-3323
(818) 658-1130
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
08/05/2022
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