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Individual

YADITZY RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11964 SW 181ST TER, MIAMI, FL 33177-2435
(305) 748-5687
Mailing address
11964 SW 181ST TER, MIAMI, FL 33177-2435
(305) 748-5687

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM103714
FL

Other

Enumeration date
10/18/2021
Last updated
10/18/2021
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