Individual
BROOKE ASHLEY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3772 TIBBETTS ST, RIVERSIDE, CA 92506-2605
(888) 743-7526
Mailing address
4432 DU CANE ST, HEMET, CA 92544-1883
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95145492
CA
363LF0000X
Family Nurse Practitioner
Primary
95019802
CA
Other
Enumeration date
07/13/2018
Last updated
11/13/2023
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