Individual
JOSE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3629 DOWNINGSVILLE RD, LINCOLN, VT 05443-8909
(201) 421-8025
Mailing address
3629 DOWNINGSVILLE RD, LINCOLN, VT 05443-8909
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01184600
NJ
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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