Individual
CAMRYN JULIEN STEVAHN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(619) 532-5078
Mailing address
36004 HARDESTY RD, SHAWNEE, OK 74801-8726
(405) 380-6583
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
03/30/2026
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