Individual
MRS. XIOMARA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13911 E AMAR RD UNIT D, LA PUENTE, CA 91746-3600
(626) 541-0501
Mailing address
637 GREENHORN DR, DIAMOND BAR, CA 91765-1012
(909) 655-7120
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
D2523937
CA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/25/2018
Last updated
02/21/2019
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