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Individual

MRS. SHANNON ELIZABETH RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LDN

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3100 SCHOFIELD RD BLDG 1179, SAN ANTONIO, TX 78234-7577
(210) 808-2232

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86868
TX
133V00000X
Registered Dietitian
L005530
NC

Other

Enumeration date
02/27/2019
Last updated
05/17/2023
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