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Individual

JAPHET DANIEL RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
USAMEDDAC 2480 LLEWELLYN AVE, FORT GEORGE MEADE, MD 20755
(301) 677-8800
Mailing address
USAMEDDAC 2480 LLEWELLYN AVE, FORT GEORGE, MD 20755

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11491111

Other

Enumeration date
03/07/2018
Last updated
07/25/2025
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