Individual
FIDENCIO RODRIGUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2169
Mailing address
4000 ELLENWOOD RD APT 3, OAKDALE, CA 95361-8465
(209) 247-9314
Taxonomy
Speciality
Code
Description
License number
State
2279G0305X
Geriatric Care Registered Respiratory Therapist
Primary
27518
CA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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