DERRICK LEMUEL RODRIGUEZ

HACKENSACK, NJ
NPI1912591108
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ  26NJ01121100)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NJ  26NJ01121100)
Enumeration Date2021-02-27
Last Update Date2023-02-15
Business Address
Mr. DERRICK LEMUEL RODRIGUEZ NP-C
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-455-4453
Mailing Address
Mr. DERRICK LEMUEL RODRIGUEZ NP-C
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-455-4453