Individual
MICHELLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2560 COLORADO BLVD, EAGLE ROCK, CA 90041-1005
(323) 255-5409
(323) 255-5732
Mailing address
2560 COLORADO BLVD, EAGLE ROCK, CA 90041-1005
(323) 255-5409
(323) 255-5732
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000014942
CA
Other
Enumeration date
01/27/2016
Last updated
05/31/2022
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