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Individual

BRENDA A RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2200 E ROUTE 66, GLENDORA, CA 91740
(626) 859-2089
(626) 859-6537
Mailing address
1360 CRESTVIEW AVE, SAN BERNARDINO, CA 92404
(909) 915-4326

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
09/14/2012
Last updated
09/14/2012
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