Individual
MRS. MONIQUE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 TIDWELL RD, POWDER SPRINGS, GA 30127-6846
(404) 966-1955
Mailing address
650 TIDWELL RD, POWDER SPRINGS, GA 30127-6846
(404) 966-1955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN196797
GA
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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