Individual
MARISOL T RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 FREEMAN STREET, NEWARK, NJ 07105
(973) 596-4190
Mailing address
590 N 7TH ST, NEWARK, NJ 07107-2522
(973) 596-3835
(973) 596-3834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR18296600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR18296600
NURSING LICENSE
NJ
Enumeration date
10/23/2017
Last updated
10/23/2017
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