Individual
JED CHRISTIAN RODRIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2140 LAVERNA AVE, LOS ANGELES, CA 90041-2718
(323) 440-8230
Mailing address
1420 S CENTRAL AVE, GLENDALE, CA 91204-2508
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95222719
CA
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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