Individual
LOURDES MARIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1990 W 56TH ST APT 1122, HIALEAH, FL 33012-6905
(786) 514-9597
Mailing address
1990 W 56TH ST APT 1122, HIALEAH, FL 33012-6905
(786) 514-9597
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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