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Individual

NISSETTE M RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LND, RDN

Contact information

Practice address
STREET MORSE, ARROYO, PR 00714-0450
(787) 839-4150
Mailing address
PO BOX 450, ARROYO, PR 00714-0450
(787) 839-4150

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1920
PR
133V00000X
Registered Dietitian
Primary
1920
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1920
LICENSE
PR
Enumeration date
08/02/2021
Last updated
08/02/2021
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