Individual
MR. RAYMOND RODRIGUEZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN,MICN
Contact information
Practice address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 814-2534
Mailing address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
833005
CA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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