Individual
MARISOL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
127 HAMPTON CT, NEWINGTON, CT 06111-1144
(860) 983-9965
Mailing address
127 HAMPTON CT, NEWINGTON, CT 06111-1144
(860) 983-9965
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
03-464286
CT
363L00000X
Nurse Practitioner
Primary
9362
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-464286
MASSAGE THERAPIST STATE LICENSE
CT
Enumeration date
02/08/2013
Last updated
03/30/2021
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