Individual
JULISSA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 6TH ST, WASCO, CA 93280-1948
(661) 772-5269
Mailing address
820 6TH ST, WASCO, CA 93280-1948
(661) 758-4029
(661) 758-0891
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
03/18/2025
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