Individual
REGLA D RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2666 SW ACE RD, PORT ST LUCIE, FL 34953-2815
(772) 985-8841
(772) 237-5186
Mailing address
2666 SW ACE RD, PORT ST LUCIE, FL 34953-2815
(772) 985-8841
(772) 237-5186
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12184
FL
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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