Individual
SHIRLEY CARDINEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7715 WING SPAN DR, SAN DIEGO, CA 92119-1771
(619) 619-4511
Mailing address
713 PASEO DEL REY, CHULA VISTA, CA 91910-6533
(619) 548-2836
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4992073
DRIVER LICENSE
CA
Enumeration date
09/26/2019
Last updated
09/26/2019
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