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Individual

DAMIANA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1809 W REDLANDS BLVD, REDLANDS, CA 92373-8054
(909) 289-4075
(909) 363-8233
Mailing address
3210 LONG BEACH BLVD, LONG BEACH, CA 90807-5062
(562) 548-6500

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95215526
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95026909
CA

Other

Enumeration date
09/13/2023
Last updated
07/09/2024
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