Individual
JAYLEE M RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2333 FARLIN AVE APT 4, GREEN BAY, WI 54302-4563
(920) 471-8323
Mailing address
2333 FARLIN AVE APT 4, GREEN BAY, WI 54302-4563
(920) 471-8323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
261744-30
WI
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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