Individual
DIANA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 W 207TH ST APT 25, NEW YORK, NY 10034-2623
(646) 259-1064
Mailing address
631 W 207TH ST APT 25, NEW YORK, NY 10034-2623
(646) 259-1064
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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