Individual
JESSE DANIEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 E FLORIDA AVE, HEMET, CA 92543-4512
(951) 439-2939
Mailing address
410 W K ST, COLTON, CA 92324-3211
(909) 498-6016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109003
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/11/2020
Last updated
09/23/2022
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