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Individual

LILLIAN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LND, M.ED.

Contact information

Practice address
1 AVE PERIFERAL 1111-A, COND CUIDAD UNIVERSITARIA, TRUJILLO ALTO, PR 00976
(787) 374-1402
Mailing address
1 AVE. PERIFERAL 1111-A, COND. CIUDAD UNIVERSITARIA, TRUJILLO ALTO, PR 00976-2124
(787) 374-1402

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
460
PR

Other

Enumeration date
01/21/2009
Last updated
01/21/2009
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