Individual
ALICIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(623) 853-3259
Mailing address
1195 E BARSTOW AVE, FRESNO, CA 93710-6306
(623) 853-3259
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86041465
CA
Other
Enumeration date
10/22/2019
Last updated
01/02/2020
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