Individual
ANITHA KAMLA JAIN-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1655 WAKE DR UNIT 101, WAKE FOREST, NC 27587-4746
(919) 556-4779
(919) 556-5277
Mailing address
1655 WAKE DR UNIT 101, WAKE FOREST, NC 27587-4746
(919) 556-4779
(919) 556-5277
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201000833
NC
Other
Enumeration date
06/22/2007
Last updated
07/19/2013
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