Individual
ELIZABETH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 N CAROLINE ST, JHOC 6210, BALTIMORE, MD 21287-0910
(301) 906-1056
Mailing address
601 N CAROLINE ST, JHOC 6210, BALTIMORE, MD 21287-0910
(301) 906-1056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04797
MD
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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