Organization
PROFESSIONAL NUTRITION CONSULTING, PLLC
Active
Organization
PROFESSIONAL NUTRITION CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA ANNE RODRIGUEZ RDN (REGISTERED DIETITIAN NUTRITIONIST)
(717) 682-7729
Entity
Organization
Contact information
Practice address
2886 N HERITAGE ST, BUCKEYE, AZ 85396-1522
(717) 682-7729
Mailing address
2886 N HERITAGE ST, BUCKEYE, AZ 85396-1522
(717) 682-7729
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
DN003417
PA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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