Individual
GERRY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 S. SEASIDE AVE, SAN PEDRO, CA 90731
(310) 521-6065
(310) 521-6079
Mailing address
1001 S. SEASIDE AVE., SAN PEDRO, CA 90731
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
06/16/2014
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