Individual
JULIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDO
Contact information
Practice address
575 W MAIN ST, EL CENTRO, CA 92243-2906
(760) 337-0022
Mailing address
575 W MAIN ST, EL CENTRO, CA 92243-2906
(760) 337-0022
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL1938
CA
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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