Individual
JACQUELYN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
761 45TH ST STE 110, MUNSTER, IN 46321-2899
(219) 865-1632
Mailing address
5617 WEGG AVE, EAST CHICAGO, IN 46312-3942
(219) 201-0315
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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