Individual
EMILY MARLENE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8800
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
MPSS-LCQSDJ
CA
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
10/17/2024
Last updated
03/28/2026
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