Individual
SUSAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7024 SCENIC VIEW DR, FAIRMONT, WV 26554-8900
(304) 366-1026
Mailing address
7024 SCENIC VIEW DR, FAIRMONT, WV 26554-8900
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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