Individual
ROXANA IVETTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
22190 MARINE DR, OCEANSIDE, CA 92058
(760) 725-5188
Mailing address
22190 MARINE DR, OCEANSIDE, CA 92058
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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