Individual
MARTHA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 TECHNOLOGY CT STE 105, RIVERSIDE, CA 92507-2181
(951) 686-8500
Mailing address
525 TECHNOLOGY CT STE 105, RIVERSIDE, CA 92507-2181
(951) 686-8500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
MPSS-YEQOFV
CA
175T00000X
Peer Specialist
Primary
MPSS-YEQOFV
CA
Other
Enumeration date
09/11/2019
Last updated
02/12/2024
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