Individual
EMANUEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1730 GOLF RD APT 212, WAUKEGAN, IL 60087-3845
(678) 480-1173
Mailing address
1730 GOLF RD APT 212, WAUKEGAN, IL 60087-3845
(678) 480-1173
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
GA
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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