Individual
JEANNETTE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10227 SW 20TH ST, MIRAMAR, FL 33025-1780
(954) 989-0566
(954) 989-5239
Mailing address
10227 SW 20TH ST, MIRAMAR, FL 33025-1780
(954) 989-0566
(954) 989-5239
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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