Individual
BIANCA ISABEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5417 MADISON AVE, SACRAMENTO, CA 95841-3164
(916) 388-3231
Mailing address
5417 MADISON AVE, SACRAMENTO, CA 95841-3164
(916) 388-3231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2022
Last updated
06/30/2023
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