Individual
KERY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 WYNDAM WAY, KISSIMMEE, FL 34743-7918
(917) 795-3184
Mailing address
2212 WYNDAM WAY, KISSIMMEE, FL 34743-7918
(917) 795-3184
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/14/2018
Last updated
10/14/2018
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