Individual
KATHRYN V RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4699 JAMBOREE RD, NEWPORT BEACH, CA 92660-2526
(949) 557-0714
Mailing address
955 W IMPERIAL HWY STE 220, BREA, CA 92821-3812
(714) 618-9500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1006544
CA
Other
Enumeration date
10/03/2013
Last updated
05/19/2024
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