Individual
GUILLERMO OSIEL RODRIGUEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 PILTZ RD, PAHRUMP, NV 89060-4103
(775) 537-3623
Mailing address
1140 PILTZ RD, PAHRUMP, NV 89060-4103
(775) 537-3623
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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