JUAN M RODRIGUEZ

OMAK, WA
NPI1477185288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61034274)
Enumeration Date2020-02-10
Last Update Date2020-02-10
Business Address
JUAN M RODRIGUEZ SUDPT
1007 KOALA DR
OMAK, WA 98841-9247
Phone number: 509-826-6191
Mailing Address
JUAN M RODRIGUEZ SUDPT
1007 KOALA DR
OMAK, WA 98841-9247
Phone number: 509-826-6191
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