Individual
ANGEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 EUSTIS ST, ROXBURY, MA 02119-2826
(161) 744-5112
Mailing address
245 EUSTIS ST, ROXBURY, MA 02119-2826
(161) 744-5112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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