Individual
MRS. MICHAELA ILIMA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2660 ALPINE BLVD, ALPINE, CA 91901-3925
(619) 922-8473
Mailing address
PO BOX 21821, EL CAJON, CA 92021-0967
(619) 922-8473
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
01228380
CA
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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