Individual
BRENDA KAY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
680 PARKSIDE DR, WAUSEON, OH 43567-9267
(419) 822-6081
Mailing address
680 PARKSIDE DR, WAUSEON, OH 43567-9267
(419) 822-6081
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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