Individual
JORGE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 N PARK RD, APT C-303, WYOMISSING, PA 19610-1308
(610) 685-1444
(610) 685-1441
Mailing address
855 N PARK RD, APT C-303, WYOMISSING, PA 19610-1308
(610) 685-1444
(610) 685-1441
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG009432
PA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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