Individual
AIDA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 CRUGER AVE APT 3E, BRONX, NY 10462-2339
(347) 469-4906
Mailing address
2120 CRUGER AVE APT 3E, BRONX, NY 10462-2339
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
270461
NY
164W00000X
Licensed Practical Nurse
270461-1
NY
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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