Individual
DIANA LYNNE RODENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
6420 N PROSPECT AVE, GLADSTONE, MO 64119-1530
(816) 842-4440
(816) 298-7904
Mailing address
6420 N PROSPECT AVE, GLADSTONE, MO 64119-1530
(816) 842-4440
(816) 298-7904
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001025077
MO
Other
Enumeration date
10/31/2006
Last updated
11/17/2016
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