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Individual

LYDIA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
1149 N 2ND ST, EL CAJON, CA 92021-5024
(619) 440-2440
Mailing address
4162 ESTRELLA AVE APT 4, SAN DIEGO, CA 92105-2055
(347) 503-8835

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76755
CA

Other

Enumeration date
04/19/2019
Last updated
04/19/2019
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