Individual
MRS. HILDA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
397 W 53RD ST, SAN BERNARDINO, CA 92407-2612
(909) 714-3176
Mailing address
2025 N D ST, SAN BERNARDINO, CA 92405-3913
(909) 475-8793
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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