Individual
NATALIA DOMENIQUE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 E BASIN AVE, SUTIE 6, PAHRUMP, NV 89060-2101
(775) 727-6000
(775) 727-6013
Mailing address
3160 SUMMERWOOD ST, PAHRUMP, NV 89048-6515
(702) 818-9724
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
0203548912
NV
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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