Individual
JAZMINE RANAE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 S 3RD AVE, AVONDALE, AZ 85323-2264
(623) 986-7934
Mailing address
44 S 3RD AVE, AVONDALE, AZ 85323-2264
(623) 986-7934
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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