Provider Demographics
NPI:1033861505
Name:RODRIGUEZ, ANA KAREN (RDN)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:KAREN
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 W BARBARA WORTH DR APT 42
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-7118
Mailing Address - Country:US
Mailing Address - Phone:760-234-8932
Mailing Address - Fax:
Practice Address - Street 1:1507 W BARBARA WORTH DR APT 42
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-7118
Practice Address - Country:US
Practice Address - Phone:760-234-8932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered