Individual
GABRIELA TERESITA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 LAS VEGAS ST, MODESTO, CA 95358-5500
(209) 576-4200
(209) 556-5064
Mailing address
1910 CUSTOMER CARE WAY, ATWATER, CA 95301-5167
(209) 384-6493
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW67933
CA
Other
Enumeration date
09/20/2012
Last updated
07/21/2022
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