Individual
ANGELA JEAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33055
CA
225400000X
Rehabilitation Practitioner
33055
CA
Other
Enumeration date
08/01/2012
Last updated
04/08/2025
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