Individual
MS. JENNIFER LYNNE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2240 E. WINROW AVE, RAYMOND W BLISS ARMY HEALTH CENTER, FORT HUACHUCA, AZ 85613
(520) 533-5133
Mailing address
243 SABLE FLS, SAN ANTONIO, TX 78258-4870
(210) 896-1464
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06543
TX
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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