Emanuel Rodriguez
Nutritionist in Waukegan, IL. Individual provider (NPI-1).
NPI number1124892385
StatusActive
Last updated in NPPESNov 8, 2023
Details
- NPI
- 1124892385
- Entity type
- Individual (NPI-1)
- Name
- Emanuel Rodriguez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2023
- Certification date
- Nov 8, 2023
- Last updated
- Nov 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | – | GA | Yes |
Practice location
1730 Golf Rd Apt 212Waukegan, IL 60087-3845
Phone 678-480-1173
Mailing address
1730 Golf Rd Apt 212Waukegan, IL 60087-3845
Phone 678-480-1173
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