Individual
EVERARDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RESPIATORY THERAPIST
Contact information
Practice address
1250 16TH STREET, SANTA MONICA, CA 90405
(424) 259-9802
Mailing address
1250 16TH STREET, SANTA MONICA, CA 90405
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
21586
CA
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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