Individual
JENNIFER ALICIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 E HAMMER LN STE 109, FORT MOHAVE, AZ 86426-6665
(928) 788-4949
Mailing address
1186 GEMSTONE AVE, BULLHEAD CITY, AZ 86442-5915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
307944
AZ
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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