Individual
GUSTAVO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 W 1ST AVE UNIT 934, TOPPENISH, WA 98948-1564
(509) 865-0800
(509) 865-2904
Mailing address
510 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-0800
(509) 865-2904
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60900411
WA
Other
Enumeration date
10/22/2018
Last updated
03/22/2021
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