Individual
JAMIE RODERIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 324-3500
(508) 676-5671
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 324-3500
(508) 676-5671
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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