Individual
ANDRIA LIZABETH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8700
Mailing address
PO BOX 690235, STOCKTON, CA 95269-0235
(209) 641-2111
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
292868
CA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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