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Individual

ROSEMARIE RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9161 SIERRA AVE STE 202, FONTANA, CA 92335-4773
(909) 854-3900
Mailing address
9161 SIERRA AVE STE 202, FONTANA, CA 92335-4773
(909) 855-3900

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A4912274
CA
347C00000X
Private Vehicle
C3658262
CA

Other

Enumeration date
03/04/2025
Last updated
03/04/2025
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