Individual
MARIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 FLASH LN, CRESTVIEW, FL 32536-4367
(850) 337-1378
Mailing address
6201 FLASH LN, CRESTVIEW, FL 32536-4367
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
174400000X
Specialist
Primary
1695766
NY
Other
Enumeration date
06/15/2012
Last updated
05/06/2013
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