Individual
JESSICA S RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 E 196TH ST APT 5H, BRONX, NY 10468-3660
(347) 951-0414
Mailing address
60 E 196TH ST APT 5H, BRONX, NY 10468-3660
(347) 951-0414
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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