Most Relevant Information
Provider Data
| NPI Number: | 1003460536 |
| Provider Name: | YAMIRISH L RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/01/2019 |
| Last Updated: | 06/30/2020 |
Provider Practice Location
1621 E VINE ST
KISSIMMEE
FL
347443730
Practice Location Phone/Fax
| Phone: | 4078474152 |
| Fax: |
Provider Mailing Location
1621 E VINE ST
KISSIMMEE
FL
347443730
Provider Mailing Phone/Fax
| Phone: | 4078474152 |
| Fax: |