Individual
JOHANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4296 PLATT AVE, LYNWOOD, CA 90262-3821
(310) 762-9298
Mailing address
4296 PLATT AVE, LYNWOOD, CA 90262-3821
(310) 762-9298
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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