Individual
ANGEL RODRIGUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 W HENDERSON AVE STE 2, PORTERVILLE, CA 93257-1490
(559) 788-1200
Mailing address
1055 W HENDERSON AVE STE 21055W, PORTERVILLE, CA 93257-1490
(559) 788-1200
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34746
CA
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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