Individual
MRS. LIZETT RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7117 OAKNEY RD, JACKSONVILLE, FL 32211-4995
(904) 762-0996
Mailing address
7117 OAKNEY RD, JACKSONVILLE, FL 32211-4995
(904) 762-0996
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
6906602
FL
Other
Enumeration date
08/25/2013
Last updated
08/25/2013
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