Individual
AMANDA MYREA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44750 60TH ST W, LANCASTER, CA 93536-7619
(661) 729-2000
Mailing address
2595 ATLANTA AVE SPC 76, RIVERSIDE, CA 92507-2491
(951) 263-0681
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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