Individual
MS. ANGILEENA MARISSA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HM3
Contact information
Practice address
1175 HART ST, YUMA, AZ 85369
(928) 269-7130
Mailing address
1ST DENBN ATTN: CREDENTIALS, BOX 555221, CAMP PENDELTON, CA 92055
(928) 269-7130
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
AZ
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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