Individual
MR. JOSE R RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 W SAN YSIDRO BLVD, #79, SAN YSIDRO, CA 92173-2485
(619) 546-1762
Mailing address
PO BOX 435208, SAN YSIDRO, CA 92143-5208
(619) 546-1762
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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