Individual
TONYA MAIRE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
2485 DENBY DR, WATERFORD, MI 48329-3925
(270) 816-7391
Mailing address
2485 DENBY DR, WATERFORD, MI 48329-3925
(270) 816-7391
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2790
CNIM
—
Enumeration date
01/11/2021
Last updated
01/11/2021
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