JUAN DIEGO RODRIGUEZ LOPEZ

SOUTH CHARLESTON, WV
NPI1215650403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374700000X Technician
Enumeration Date2022-09-22
Last Update Date2022-09-22
Business Address
JUAN DIEGO RODRIGUEZ LOPEZ
325 6TH AVE
SOUTH CHARLESTON, WV 25303-1231
Phone number: 304-720-3383
Mailing Address
JUAN DIEGO RODRIGUEZ LOPEZ
325 6TH AVE
SOUTH CHARLESTON, WV 25303-1231
Phone number: 304-720-3383