Individual
JOHANNA M RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7614 PARK LN S, WOODHAVEN, NY 11421-1030
(347) 771-7287
Mailing address
7614 PARK LN S, 1ST FL, WOODHAVEN, NY 11421-1030
(347) 771-7287
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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