Individual
KAYLA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1309 S MAIN ST, WATERBURY, CT 06706-1758
(203) 756-8021
(203) 597-8637
Mailing address
1309 S MAIN ST, WATERBURY, CT 06706-1758
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39014
CT
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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