Individual
BIANKA G RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 E GISH RD, SAN JOSE, CA 95112-4706
(408) 453-7616
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(916) 388-6345
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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