NPI | 1831348895 |
---|---|
Former Name | JESSICA RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 63436) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2020-08-04 |