Individual
JERAMIE LYNN ROSALES RODRIGUEZ
Active
Individual
JERAMIE LYNN ROSALES RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2023048801
MO
2084P0800X
Psychiatry Physician
4301509041
MI
2084P0800X
Psychiatry Physician
89635
SC
2084P0800X
Psychiatry Physician
R4227
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100512670
—
KY
Enumeration date
04/06/2016
Last updated
02/10/2025
Update your record
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