Individual
MRS. LEILANI ANN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
4747 N BARTON AVE, FRESNO, CA 93726-1119
(559) 223-6969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
495309
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95005434
CA
Other
Enumeration date
08/20/2012
Last updated
04/20/2017
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