Individual
MRS. MARTI LEANNE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 569-4106
(936) 569-4647
Mailing address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 569-4106
(936) 569-4647
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT04597
TX
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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