Individual
VANESSSA LYN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44199 MONROE ST, INDIO, CA 92201-3096
(951) 312-8924
Mailing address
44199 MONROE ST, INDIO, CA 92201-3096
(951) 312-8924
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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