Individual
JOHANNA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
199 ROSEWOOD DR, DANVERS, MA 01923-1398
(978) 536-1091
Mailing address
199 ROSEWOOD DR, DANVERS, MA 01923-1398
(978) 536-1091
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042777145
BEACON HEALTH STRATEGIES
MA
Enumeration date
06/14/2016
Last updated
06/14/2016
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