Individual
MS. LACIE MICHELLE RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
17100 EUCLID ST, FOUNTAIN VALLEY, CA 92708-4004
(714) 966-7233
(714) 708-4150
Mailing address
164 ARGONNE AVE, APT. #2, LONG BEACH, CA 90803-3232
(562) 481-8196
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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