Individual
DIANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7333 W THOMAS RD STE 18, PHOENIX, AZ 85033-5547
(623) 247-0777
Mailing address
4175 N FALCON DR APT 2023, GOODYEAR, AZ 85395-2350
(317) 771-0581
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002598
AZ
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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