Individual
REBECA SHANTEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
850 STATE ST UNIT 316, SAN DIEGO, CA 92101-6050
(757) 615-8957
Mailing address
850 STATE ST UNIT 316, SAN DIEGO, CA 92101-6050
(757) 615-8957
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
163224
AZ
Other
Enumeration date
08/28/2021
Last updated
08/28/2021
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