Individual
ALTAGRACIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8043 SAN JOSE BLVD, JACKSONVILLE, FL 32217-3515
(929) 313-1665
Mailing address
8043 SAN JOSE BLVD, JACKSONVILLE, FL 32217-3515
(929) 313-1665
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907124
FL
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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