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Individual
DOMINIC RODRIGUEZ
Active
Individual
DOMINIC RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
31994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31994
RESPIRATORY CARE BOARD OF CALIFORNIA
CA
01
—
B5301251
DRIVER LIC
CA
Enumeration date
08/16/2018
Last updated
08/16/2018
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