Individual
LILY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSO, CNSC
Contact information
Practice address
1201 ANDREW LN, SANTA CRUZ, CA 95062-3058
(323) 304-1559
Mailing address
1201 ANDREW LN, SANTA CRUZ, CA 95062-3058
(323) 304-1559
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
947604
CA
Other
Enumeration date
02/24/2010
Last updated
10/01/2024
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