Individual
GRICELL RODRIGUEZ-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 S KINNELOA AVE, PASADENA, CA 91107-3853
(626) 844-3033
Mailing address
36 S KINNELOA AVE, PASADENA, CA 91107-3853
(626) 844-3033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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