Individual
DIANA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4063 MARINA ISLE DR, KISSIMMEE, FL 34746-1836
(772) 224-5552
Mailing address
4063 MARINA ISLE DR, KISSIMMEE, FL 34746-1836
(772) 224-5552
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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