PROFESSIONAL NUTRITION CONSULTING, PLLC
Ambulatory Health at Heritage St, Buckeye, AZ

License number
Arizona DN003417
Category
Ambulatory Health
Type
Health Service
Owner
Name: ELISA ANNE RODRIGUEZ RDN
Title: REGISTERED DIETITIAN NUTRITIONIST
Phone: (717) 682-7729
Address
Address
2886 N Heritage St, Buckeye, AZ 85396
National Provider ID: 1619386596
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PROFESSIONAL NUTRITION CONSULTING, PLLC

2886 N Hertiage St, Buckeye, AZ 85396

Registration:
Jun 10, 2014
State ID:
P-1931858-1
Expiration:
PERPETUAL
Member:
Elisa Anne Rodriguez (Member), 2886 N Hertiage St, Buckeye, AZ 85396 (Physical)

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