Individual
MS. DELIA ANN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3428 WILBUR ST, RIVERSIDE, CA 92503-5645
(951) 450-9223
Mailing address
9825 MAGNOLIA AVE # B198, RIVERSIDE, CA 92503-3562
(951) 450-9223
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C6978164
CA
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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