Individual
MARTHA GRISELDA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 690-6116
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 690-6116
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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