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1629752464
BRIANNA LYZETTE RODRIGUEZ
MANTECA, CA
NPI
1629752464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
BRIANNA LYZETTE RODRIGUEZ
393 SYRAH CT
MANTECA, CA 95337-6886
Phone number: 209-818-3172
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Mailing Address
BRIANNA LYZETTE RODRIGUEZ
1255 ALLSTON WAY
BERKELEY, CA 94702-1833
Phone number:
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