Individual
OMAR ALEJANDRO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1845 N FAIR OAKS AVE, PASADENA, CA 91103-1620
(626) 744-6138
Mailing address
1151 S EL MOLINO AVE, PASADENA, CA 91106-4459
(626) 395-0658
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
733688
CA
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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