Individual
MARIANGELY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4527 N BROAD ST, PHILADELPHIA, PA 19140-1215
(877) 225-0316
Mailing address
4561 MULBERRY ST, PHILADELPHIA, PA 19124-3741
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/23/2021
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