Individual
MISS ELOISA IVETTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 494-1561
Mailing address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 494-1561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
68982
CA
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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