Individual
NIOVE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2349 BROAD CREEK DR., STONE MOUNTAIN, GA 30087-3755
(678) 471-1614
(678) 476-9675
Mailing address
2349 BROAD CREEK DR, STONE MOUNTAIN, GA 30087-3755
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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