Individual provider · Type 1 NPI

Jennie Rodriguez

Specialist · Stockton, CA

NPI number 1467270264 Active

Practice location

37 W Yokuts Ave Ste B
Stockton, CA 95207-5727

Call (209) 403-4216 Map

Mailing address

436 Cowell Ave
Manteca, CA 95336-5908

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XLIC-116144 (CA)

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 1467270264

Jennie Rodriguez's National Provider Identifier is 1467270264, issued on Sep 30, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Stockton, CA. The record was last updated on Sep 30, 2024.