Organization
ANGELINA V RODRIGUEZ
Active
Other names
empire ketone center
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA V RODRIGUEZ (OWNER)
(909) 684-1568
Entity
Organization
Contact information
Practice address
7426 CHERRY AVE, SUITE 210-213, FONTANA, CA 92336-4221
(909) 684-1568
Mailing address
7426 CHERRY AVE, SUITE 210-213, FONTANA, CA 92336-4221
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1089640
CA
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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