Individual
MISS BETHANY ELIZABETH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
8525 N CEDAR AVE STE 109, FRESNO, CA 93720-4833
(559) 433-1120
Mailing address
7283 W RIALTO AVE, FRESNO, CA 93723-9407
(559) 313-5721
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1086112
CA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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