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Individual

MR. VICTOR MANUEL DIAZ-RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
211 POMEROY AVE, APT 1116, MERIDEN, CT 06450-7165
(719) 588-9087
Mailing address
211 POMEROY AVE, APT 1116, MERIDEN, CT 06450-7165
(719) 588-9087

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
001421
CT
227900000X
Registered Respiratory Therapist
0117001499
VA
227900000X
Registered Respiratory Therapist
2011013988
MO
227900000X
Registered Respiratory Therapist
2943
CO
227900000X
Registered Respiratory Therapist
67341
TX

Other

Enumeration date
08/17/2011
Last updated
08/17/2011
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