Individual
AMANDA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 K D REVELL RD, WAUCHULA, FL 33873-2051
(863) 773-4161
Mailing address
115 K D REVELL RD, WAUCHULA, FL 33873-2051
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH22033
FL
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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