Individual
ELISE MARCELA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
165 ASHLEY AVE STE 603E, CHARLESTON, SC 29425-8905
(843) 792-4717
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2017
SC
133V00000X
Registered Dietitian
—
SC
Other
Enumeration date
01/14/2020
Last updated
05/19/2020
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