Individual
EZEKIEL RODRIGUEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
3933 HARRISON ST, RIVERSIDE, CA 92503-3523
(833) 391-0505
(951) 358-4716
Mailing address
5597 34TH ST APT D, RIVERSIDE, CA 92509-4546
(951) 965-8689
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
735719
CA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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