Individual
MRS. NICHOLE DIANE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
20 PANORAMA DR, REDLANDS, CA 92374-6465
(909) 767-9287
Mailing address
20 PANORAMA DR, REDLANDS, CA 92374-6465
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95061489
CA
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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