Provider Demographics
NPI:1104144617
Name:RODGERS, ELAINE FRANCOIS (RD, CNSC, CSR)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:FRANCOIS
Last Name:RODGERS
Suffix:
Gender:F
Credentials:RD, CNSC, CSR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 CAPRICE CT
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-3721
Mailing Address - Country:US
Mailing Address - Phone:408-843-6010
Mailing Address - Fax:
Practice Address - Street 1:560 CAPRICE CT
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-3721
Practice Address - Country:US
Practice Address - Phone:408-843-6010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA606669133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered