Individual
ANGELA LYNN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CNSC
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(214) 473-7712
Mailing address
9739 CHAMPA DR, DALLAS, TX 75218-2109
(210) 364-8357
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82749
TX
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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