Individual
ALICIA PATRICE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
5 GAYMORE RD, PORT JEFF STA, NY 11776-1309
(631) 626-3594
Mailing address
5 GAYMORE RD, PORT JEFF STA, NY 11776-1309
(631) 626-3594
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312451-1
NY
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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