Individual
DAVID RODRIGUEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 RECORD ST STE 100, RENO, NV 89512-3327
(775) 348-8811
Mailing address
315 RECORD ST STE 100, RENO, NV 89512-3327
(775) 348-8811
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992113740
—
NV
Enumeration date
08/16/2017
Last updated
08/16/2017
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