Courtney De La Rosa, MCN, RDN, LD

NPI #1902290893 in Waco, Texas

Provider Information

NPI Number: 1902290893
Entity Type: Individual
Name: Courtney De La Rosa, MCN, RDN, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MCN, RDN, LD
Enumeration Date: Mar 27, 2015
Last Updated: Apr 12, 2016

Practice Location

Address: 2500 MARKETPLACE DR
Address 2: APT 413
City: Waco
State: Texas
ZIP Code: 76711-2448
Phone: (903) 806-6981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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