Individual
ALICE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12330 AGENCY RD., PARKER, AZ 85344
(928) 669-3130
(928) 669-3131
Mailing address
12330 AGENCY RD., PARKER, AZ 85344
(928) 669-3130
(928) 669-3131
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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