Individual
VILMA T RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 SENN RD, SAN DIEGO, CA 92136-5029
(619) 556-5327
Mailing address
4937 BLACK CORAL CT, SAN DIEGO, CA 92154-8565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
830057
CA
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/05/2006
Last updated
12/29/2021
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