Individual
DANIELLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12419 WASHINGTON ST, CROWN POINT, IN 46307-5189
(219) 487-4485
Mailing address
12419 WASHINGTON ST, CROWN POINT, IN 46307-5189
(219) 487-4485
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
28191903A
IN
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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