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Individual

IVONNE RODRIGUEZ PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
3603 BURTON AVE, LYNWOOD, CA 90262-4823
(310) 766-5053
Mailing address
3603 BURTON AVE, LYNWOOD, CA 90262-4823
(310) 766-5053

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
01/29/2015
Last updated
01/29/2015
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