Individual
ILIANA NOEMI RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8762
(559) 353-5550
(559) 353-8372
Mailing address
112 EL DORADO DR, MADERA, CA 93637-5422
(530) 848-6784
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95030999
CA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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