Individual
ANGELA ANDREA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
762 CYPRESS ST, SAN DIMAS, CA 91773-3505
(909) 599-1227
Mailing address
762 CYPRESS ST, SAN DIMAS, CA 91773-3505
(909) 599-1227
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
224390
CA
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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