Individual
ARLENE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17500 FOOTHILL BLVD, FONTANA, CA 92335-3736
(909) 428-0170
Mailing address
17959 BUCKEYE CT, FONTANA, CA 92336-2308
(909) 538-6986
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
776895
CA
363L00000X
Nurse Practitioner
Primary
NP95027786
CA
Other
Enumeration date
06/18/2024
Last updated
08/29/2024
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