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Individual

ZORAIDA C RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
140 HIGH ST, SPRINGFIELD, MA 01105-1442
(413) 794-2511
Mailing address
1850 NORTHAMPTON ST, HOLYOKE, MA 01040-1908
(413) 552-0899
(413) 552-0890

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2317
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2317
LICENSED DIETITIAN
MA
01
44702
HNE
MA
01
MT077001
MEDICARE PTAN
Enumeration date
02/22/2007
Last updated
03/06/2009
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