Individual
MRS. MARISSA NOEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3860 TYLER ST, RIVERSIDE, CA 92503-3431
(951) 523-8084
Mailing address
10101 ZUNI PASS, RIVERSIDE, CA 92503-5453
(951) 522-1691
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11471
CA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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