Individual
CAROL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5270 EGNER ST, SAND LAKE, MI 49343-8859
(616) 696-8411
Mailing address
5270 EGNER ST, SAND LAKE, MI 49343-8859
(616) 696-8411
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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