Individual
JOSE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4721 SUNSET BLVD, SUITE D, LEXINGTON, SC 29072-9151
(803) 996-0312
(803) 957-2496
Mailing address
6 MILLET RIDGE CT, COLUMBIA, SC 29223-1402
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1163
SC
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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