Individual
HEIDI P RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDA, RDN
Contact information
Practice address
11808 1ST PL SE, LAKE STEVENS, WA 98258-7736
(425) 773-3912
Mailing address
11808 1ST PL SE, LAKE STEVENS, WA 98258-7736
(425) 773-3912
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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