Individual
MS. JESSICA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 UNION AVE APT 3, BRONX, NY 10455-2355
(631) 575-3375
Mailing address
714 UNION AVE APT 3, BRONX, NY 10455-2355
(631) 575-3375
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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