Individual
SASHA ANN-MARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13773 LAKEVIEW CT, LAKESIDE, CA 92040-4829
(612) 578-8973
Mailing address
864 N 2ND ST APT 304, EL CAJON, CA 92021-5806
(203) 214-1979
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118832634
CONNECTICUT IDENTIFICATION CARD
CT
Enumeration date
09/25/2019
Last updated
09/25/2019
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