Individual
BRENDA LEE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 PEACHTREE ST NE, ATLANTA, GA 30361-3503
(844) 804-7627
Mailing address
2370 MAIN ST NW APT 1322, DULUTH, GA 30097-2844
(850) 525-0265
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014241710
GA
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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