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Individual
MARIA ELENA RODRIGUEZ
Active
Individual
MARIA ELENA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12164
CA
363LC1500X
Community Health Nurse Practitioner
RN415092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043790
—
CA
01
—
ZZZ21572Z
GRP PTAN FOR BAZ ALLERGY, ASTHMA & SINUS CENTER MULT LOCATIONS
CA
Enumeration date
05/13/2008
Last updated
08/22/2016
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