Individual
MS. ASHLEY DOMINIQUE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
(918) 560-1399
Mailing address
6608 S DATE AVE, BROKEN ARROW, OK 74011-6619
(210) 919-2091
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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