Individual
PENNY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2455 W BENCH RD, OTHELLO, WA 99344-8901
(509) 989-2189
(509) 488-3400
Mailing address
2455 W BENCH RD, OTHELLO, WA 99344-8901
(509) 989-2189
(509) 488-3400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60185044
WA
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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