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Individual

HECTOR L RODRIGUEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
105 E MONUMENT AVE, KISSIMMEE, FL 34741-5761
(407) 350-4138
(321) 250-7463
Mailing address
105 E MONUMENT AVE, KISSIMMEE, FL 34741-5761
(407) 350-4138
(321) 250-7463

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
251E00000X
Home Health Agency
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
02/09/2017
Last updated
07/10/2021
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