Individual
LESLIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4800 SANDPOINT WAY NE, SEATTLE, WA 98115
(253) 732-1209
Mailing address
5411 62ND ST NW, GIG HARBOR, WA 98335-7359
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
60687078
WA
Other
Enumeration date
03/02/2015
Last updated
09/17/2016
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