Individual
MRS. KANYA ANNETTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5473 KEARNY VILLA RD STE 300, SAN DIEGO, CA 92123-1142
(619) 379-6934
Mailing address
286 EUCLID AVE STE 104, SAN DIEGO, CA 92114-3611
(619) 379-6934
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
07/31/2023
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