Individual
MS. ALLYSON LORRAINE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
414 ANN ST, BABYLON, NY 11702-1104
(631) 639-6934
Mailing address
414 ANN STREET, BABYLON, NY 11702
(631) 639-6934
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10313349
NY
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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