Individual
JORGE LUIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
305 CAMINO DEL REMEDIO, SANTA BARBARA, CA 93110-1332
(805) 465-8199
Mailing address
305 CAMINO DEL REMEDIO, SANTA BARBARA, CA 93110-1332
(805) 465-8199
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
240341
CA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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