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NPI Code Detail

MEDICARE: ROSELINE TOMASITA RODRIGUEZ CD,RD

MEDICARE: ROSELINE TOMASITA RODRIGUEZ CD,RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian10082OH

General Provider Information

NPI Number : 1306686985
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSELINE TOMASITA RODRIGUEZ CD,RD
Provider Business Mailing Address
First Line : 6451 ROSEBURY DR
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-3811
Country : US
Telephone Number : 937-242-5497
Fax Number :
Provider Business Practice Location Address
First Line : 6451 ROSEBURY DR
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-3811
Country : US
Telephone Number : 937-242-5497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2024
Last Update Date : 07/27/2024

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