Individual
MISS ADETUTU K. RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1036 MANOR AVE, APT, 2D, BRONX, NY 10472-5928
(347) 417-6340
Mailing address
1036 MANOR AVE, APT, 2D, BRONX, NY 10472-5928
(347) 417-6340
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323910-1
NY
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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