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Individual

MARCO ANTONIO RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5175 JERRY TARKANIAN WAY UNIT 9203, LAS VEGAS, NV 89148-0006
(305) 305-8205
Mailing address
5175 JERRY TARKANIAN WAY UNIT 9203, LAS VEGAS, NV 89148-0006
(305) 305-8205

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
08/24/2022
Last updated
08/24/2022
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