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Individual

MARISA JESSIE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15400 VAN BUREN ST, MIDWAY CITY, CA 92655-1660
(714) 894-7224
Mailing address
80597 PLUM LN, INDIO, CA 92201-8497
(760) 799-5901

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary

Other

Enumeration date
03/19/2025
Last updated
03/19/2025
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