Individual
OSCAR IVAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11214 126TH AVENUE CT E APT 3, PUYALLUP, WA 98374-2332
(253) 254-9158
Mailing address
11214 126TH AVENUE CT E APT 3, PUYALLUP, WA 98374-2332
(253) 254-9158
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC13730
WA
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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