Individual
MISS ATZIRI RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689863516
—
CA
01
—
HAP11743F
SOFP
CA
Enumeration date
01/10/2013
Last updated
01/10/2013
Update your record
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