Most Relevant Information
Provider Data
| NPI Number: | 1003641903 |
| Provider Name: | LIZETTE RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/03/2024 |
| Last Updated: | 09/03/2024 |
Provider Practice Location
3633 E BROADWAY
LONG BEACH
CA
908036035
Practice Location Phone/Fax
| Phone: | 5622851330 |
| Fax: |
Provider Mailing Location
3633 E BROADWAY
LONG BEACH
CA
908036035
Provider Mailing Phone/Fax
| Phone: | 5622851330 |
| Fax: |