Individual
JOSE L RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1260 N DUTTON AVE STE 225, SANTA ROSA, CA 95401-7156
(707) 526-5424
Mailing address
86 RENATO CT APT 12A, REDWOOD CITY, CA 94061-4027
(646) 275-7261
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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