Individual provider · Type 1 NPI
Mary M. Rodriguez
Specialist · San Jose, CA
NPI number
1154675783
Active
Practice location
777 N 1st St Ste 444
San Jose, CA 95112-6339
Fax (408) 240-0077
Mailing address
2115 Nottoway Ave
San Jose, CA 95116-3644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1154675783
Mary M. Rodriguez's National Provider Identifier is 1154675783, issued on Nov 5, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Jose, CA. The record was last updated on Nov 5, 2012.