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Individual
MS. PATRICIA L. ROCHE
Active
Individual
MS. PATRICIA L. ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
564375
—
133V00000X
Registered Dietitian
Primary
564375
—
133VN1004X
Pediatric Nutrition Registered Dietitian
564375
—
133VN1006X
Metabolic Nutrition Registered Dietitian
564375
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3178508497
—
IN
Enumeration date
05/06/2009
Last updated
05/11/2017
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