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: |