Individual
RODERICK JOSEPH SANDIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
517 N HILDEBRAND AVE, GLENDORA, NJ 08029-1276
(856) 939-1940
Mailing address
517 N HILDEBRAND AVE, GLENDORA, NJ 08029-1276
(856) 939-1940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR11701300
NJ
163W00000X
Registered Nurse
Primary
RN570082
PA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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