Individual
ANGEL VANNI RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
200 S 5TH ST, EL CENTRO, CA 92243-3013
(760) 482-0864
(760) 482-9185
Mailing address
1915 SANDALWOOD DR, EL CENTRO, CA 92243-3739
(760) 960-1590
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
293403
CA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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