Individual
KENIA ISABEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 207-0396
Mailing address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 207-0396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-CZXNBO
CA
Other
Enumeration date
06/21/2022
Last updated
09/06/2023
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