Individual
JEANNE H RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
718 CARMENERE DR, KENNER, LA 70065-1110
(504) 975-6634
Mailing address
718 CARMENERE DR, KENNER, LA 70065-1110
(504) 975-6634
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTT.Z11725
LA
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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