Individual
MR. HECTOR ANTONIO RODRIGUEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2460 CRYSTAL DR, ATWATER, CA 95301-4458
(209) 628-6373
Mailing address
2460 CRYSTAL DR, ATWATER, CA 95301-4458
(209) 628-6373
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B4672875
CA
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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