Individual
IVON ITZEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
(818) 739-5604
Mailing address
45465 25TH ST E SPC 101, LANCASTER, CA 93535-2388
(661) 305-5335
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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