Individual
JOSE ALBERTO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
33000 NIXIE WAY, BLDG 50 SUITE 245, SAN DIEGO, CA 92147-5109
(619) 524-5137
Mailing address
1585 BEDFORD AVE, CHULA VISTA, CA 91913-3915
(619) 934-0582
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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