Individual
MR. JOSE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
461 SPRUCE ST, OXNARD, CA 93033-5219
(760) 908-1304
Mailing address
461 SPRUCE ST, OXNARD, CA 93033-5219
(760) 908-1304
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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