Individual
JACQUELINE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 CAMFIELD AVE, COMMERCE, CA 90040-1502
(323) 725-8751
Mailing address
10330 BOWMAN AVE, SOUTH GATE, CA 90280-6742
(323) 493-2329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95078683
CA
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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