Individual
ANGELINA MARIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 RUSSELL ST, CHARLESTON, WV 25302-1410
(315) 362-2639
Mailing address
604 RUSSELL ST, CHARLESTON, WV 25302-1410
(315) 362-2639
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/14/2021
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