Individual
JAELENE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
274 S 2ND ST APT 9, BROOKLYN, NY 11211-5426
(917) 815-0407
Mailing address
274 SOUTH 2ND T, APT 9, BROOKLYN, NY 11211
(917) 815-0407
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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