Individual
JARED IGNACIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2400 S AVE A, EMERGENCY DEPARTMENT, YUMA, AZ 85364
(928) 323-2110
Mailing address
2400 S AVE A, EMERGENCY DEPARTMENT, YUMA, AZ 85364
(928) 323-2110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235030
AZ
363LF0000X
Family Nurse Practitioner
RN185478
AZ
Other
Enumeration date
11/22/2019
Last updated
01/22/2020
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