Individual
HEAVEN MARIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 6TH STREET, WASCO, CA 93280
(661) 758-4029
(661) 758-0891
Mailing address
29341 KIMBERLINA RD STE 102, WASCO, CA 93280-7617
(661) 758-4029
(661) 758-0891
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
10/13/2023
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