Individual
TIANA M RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 COLYER TERR, WAYNE, NJ 07470
(973) 931-0359
Mailing address
13 COLYER TER, WAYNE, NJ 07470-7307
(973) 931-0359
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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