Individual
DESIREE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6265 SEPULVEDA BLVD. SUITE 9 & 10, VAN NUYS, CA 91411-1114
(818) 779-0555
Mailing address
12897 BROMONT AVE, SAN FERNANDO, CA 91340-1041
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
267311
CA
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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