Individual
MRS. JENNIE SUZANNE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1014 S AMULET, MESA, AZ 85208-2765
(480) 854-7786
Mailing address
1014 S AMULET, MESA, AZ 85208-2765
(480) 854-7786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
085572
AZ
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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