Individual
VIVIANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6540 LUSK BLVD STE C256, SAN DIEGO, CA 92121-5795
(877) 264-6747
(877) 539-7730
Mailing address
36A MONTEREY BLVD, SAN FRANCISCO, CA 94131
(877) 264-6747
(877) 539-7730
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-15-03520
CA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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