Individual
GRACIELLA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 GARDEN STREET, 405, SOUTH BURLINGTON, VT 05403
(917) 327-0677
Mailing address
112 GARDEN STREET, 405, SOUTH BURLINGTON, VT 05403
(917) 327-0677
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
D3B7M5A9
VT
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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