Individual
DIANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
798 RIDGE ST, NEWARK, NJ 07104-2326
(862) 576-6573
Mailing address
798 RIDGE ST, NEWARK, NJ 07104-2326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95791601
NY
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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