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Individual

MRS. MARITZA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DSC, MA,BA,ATC

Contact information

Practice address
275 W CONTINENTAL RD, SUITE #181 E/F, GREEN VALLEY, AZ 85622-3624
(520) 625-1622
(520) 625-1655
Mailing address
275 W CONTINENTAL RD, SUITE 181-E/F, GREEN VALLEY, AZ 85622-3624
(520) 625-1622
(520) 625-1655

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
RESPIRATORY,REHABILITATIO
AZ
Enumeration date
03/23/2006
Last updated
01/07/2010
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