Individual
RITA DOMINGO FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSRDCD
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 436-5431
Mailing address
314 DIXON AVE, HICKSVILLE, OH 43526-1354
(419) 542-8431
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000745A
IN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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