Individual
REBECA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504-5176
(616) 430-6494
Mailing address
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504-5176
(616) 430-6494
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
4704212639
MI
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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