Individual
CANDALARIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3317
(323) 754-2816
(323) 754-2828
Mailing address
2501 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3317
(323) 754-2816
(323) 754-2828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1357390819
CA
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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