Individual
BRENDA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1411
(877) 720-7181
Mailing address
925 E I ST, ONTARIO, CA 91764-3501
(909) 957-4322
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86090208
CA
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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