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Individual
DR. GUILLERMO RODRIGUEZ JR.
Active
Individual
DR. GUILLERMO RODRIGUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-29988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326291931
GROUP NPI
CA
01
—
DA127A
GROUP PTAN
CA
01
—
DA128Z
INDIVIDUAL PTAN
CA
01
—
DC29988
CHIROPRACTIC LICENSE
CA
Enumeration date
11/20/2006
Last updated
03/13/2018
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