Individual
MS. JACQUELINE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3357 E GAGE AVE, HUNTINGTON PARK, CA 90255-5530
(323) 583-3986
(323) 583-9635
Mailing address
3355 E GAGE AVE, HUNTINGTON PARK, CA 90255-5530
(323) 835-6677
(323) 835-6679
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
16187
CA
Other
Enumeration date
11/28/2006
Last updated
07/26/2018
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