Rita Domingo Fox MSRDCD

NPI 1689786931 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1689786931
Gender Female
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2121 LAKE AVE
FORT WAYNE IN, 46805-5100, US
Phone (260) 436-5431
Fax
Business Location
314 DIXON AVE
HICKSVILLE OH, 43526-1354, US
Phone (419) 542-8431
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Indiana
License Number 37000745A
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According to our database, Rita Domingo Fox MSRDCD NPI is 1689786931, taxonomy code is 133V00000X and license number is 37000745A, license state is located at Indiana. Rita Domingo Fox MSRDCD physically located at 2121 Lake Ave, Fort Wayne IN, 46805-5100. NPI Number Rita Domingo Fox MSRDCD has the Individual type.

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1689786931 NPI number is provided on an as is basis without warranty of any kind. 1689786931 is maintained by the National Plan & Provider Enumeration System. The contents of Rita Domingo Fox MSRDCD are for informational purposes only.