Individual
EVAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 BLOOMFIELD AVE, WEST HARTFORD, CT 06117-1545
(860) 786-7864
Mailing address
68 ROBBINS AVE, NEWINGTON, CT 06111-3833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001165
CT
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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