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LEO STEVEN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
BMA SAN NICOLAS IS, NAVAL OUTLYING LANDING FIELD, POINT MUGU NAWC, CA 93042-0001
(805) 989-8030
Mailing address
28525 PLANTAIN ST, MENIFEE, CA 92584-7495
(951) 269-3161

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
08/09/2007
Last updated
02/23/2012
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