Individual
RODERICK ANTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2160 W 190TH ST, TORRANCE, CA 90504-6103
(310) 224-6943
(310) 224-6966
Mailing address
16337 REDWOOD ST, FOUNTAIN VALLEY, CA 92708-1531
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
551855
CA
Other
Enumeration date
11/22/2006
Last updated
03/21/2012
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