Individual
LETICIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13442 MALENA DR, SANTA ANA, CA 92705-1912
(714) 543-5437
Mailing address
2130 E 4TH ST STE 200, SANTA ANA, CA 92705-3818
(714) 543-5437
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-CAVGMQ
CA
Other
Enumeration date
12/01/2020
Last updated
12/05/2024
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