Individual
MRS. BLANCA ROSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2100 W 76TH ST, 413, HIALEAH, FL 33016-5539
(305) 400-8091
(305) 400-8185
Mailing address
2100 W 76TH ST, 413, HIALEAH, FL 33016-5539
(305) 400-8091
(305) 400-8185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 45172
FL
246RP1900X
Phlebotomy Technician
698769816
FL
Other
Enumeration date
11/03/2006
Last updated
07/26/2011
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