| Candice Allysha Rodriguez, RDN | |
|
1274 Scott St, Morro Bay, CA 93442-2030 | |
| (530) 906-8919 | |
| Not Available |
| Full Name | Candice Allysha Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1274 Scott St, Morro Bay, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700470788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Seattle Indian Health Board |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316012461 PECOS PAC ID: 7517866973 Enrollment ID: O20040105000550 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Allysha Rodriguez, RDN 1274 Scott St, Morro Bay, CA 93442-2030 Ph: (530) 906-8919 | Candice Allysha Rodriguez, RDN 1274 Scott St, Morro Bay, CA 93442-2030 Ph: (530) 906-8919 |
Ms. Sarah Nicole Kessner, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-591-0712 | |
Kelsey Marie Mccourt, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-225-7302 | |
Emily Banser, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-305-9911 Fax: 833-264-5898 | |
Marlen Tanner, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-591-0712 Fax: 833-264-5898 | |
Ms. Cameron Jung-fagan, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-591-0712 | |
Marlena Tanner, Rdn, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 2598 Main St, Morro Bay, CA 93442 Phone: 805-305-9911 Fax: 833-264-5898 |