Individual
VERNON VAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11721 TELEGRAPH RD STE A, SANTA FE SPRINGS, CA 90670-6835
(626) 677-8914
Mailing address
11721 TELEGRAPH RD STE A, SANTA FE SPRINGS, CA 90670-6835
(626) 677-8914
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT40581
CA
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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