Individual
LESLY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5717 DAPHNE DR, INDIANAPOLIS, IN 46278-1914
(317) 820-7550
Mailing address
5717 DAPHNE DR, INDIANAPOLIS, IN 46278-1914
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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