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Individual

ANGEL RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2320 THOMPSON WAY, STE D, SANTA MARIA, CA 93455-1067
(805) 739-1512
(805) 739-2855
Mailing address
5204 LA PURISMA ST, GUADALUPE, CA 93434-1839

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
12/08/2010
Last updated
12/08/2010
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