Most Relevant Information
Provider Data
NPI Number: | 1003534462 |
Provider Name: | MARY RODRIGUEZ |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 08/19/2022 |
Last Updated: | 07/13/2023 |
Provider Practice Location
1076 SANTO ANTONIO DR STE B
COLTON
CA
923248183
Practice Location Phone/Fax
Phone: | 9094339824 |
Fax: |
Provider Mailing Location
1076 SANTO ANTONIO DR STE B
COLTON
CA
923248183
Provider Mailing Phone/Fax
Phone: | 9094339824 |
Fax: |