Individual
COURTNEY DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCN, RDN, LD
Contact information
Practice address
2500 MARKETPLACE DR, APT 413, WACO, TX 76711-2448
(903) 806-6981
Mailing address
2500 MARKETPLACE DR, APT 413, WACO, TX 76711-2448
(903) 806-6981
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
04/12/2016
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