Individual
BRANDON RODARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 715-5040
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 715-5040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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