Most Relevant Information
Provider Data
| NPI Number: | 1003320029 |
| Provider Name: | PAOLA A RODRIGUEZ-DAVILA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/29/2017 |
| Last Updated: | 06/20/2019 |
Provider Practice Location
904 PRINCESS ANNE ST STE 402
FREDERICKSBURG
VA
224015804
Practice Location Phone/Fax
| Phone: | 5403222289 |
| Fax: |
Provider Mailing Location
904 PRINCESS ANNE ST STE 301&402
FREDERICKSBURG
VA
224015801
Provider Mailing Phone/Fax
| Phone: | 5403222289 |
| Fax: | 5404793282 |