Most Relevant Information
Provider Data
| NPI Number: | 1003423617 |
| Provider Name: | HEIDI P RODRIGUEZ MDA, RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/28/2020 |
| Last Updated: | 09/28/2020 |
Provider Practice Location
11808 1ST PL SE
LAKE STEVENS
WA
982587736
Practice Location Phone/Fax
| Phone: | 4257733912 |
| Fax: |
Provider Mailing Location
11808 1ST PL SE
LAKE STEVENS
WA
982587736
Provider Mailing Phone/Fax
| Phone: | 4257733912 |
| Fax: |