Individual
LUPE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4356 VIA SAN LUIS, RIVERSIDE, CA 92504-2453
(951) 329-7846
Mailing address
4356 VIA SAN LUIS, RIVERSIDE, CA 92504-2453
(951) 329-7846
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
52997
CA
Other
Enumeration date
01/06/2016
Last updated
01/07/2016
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