Individual provider · Type 1 NPI

Roberto Dominicci Rodriguez, PPS

Student in an Organized Health Care Education/Training Program · Moreno Valley, CA

NPI number 1891156295 Active

Practice location

12968 Frederick St, Suite D
Moreno Valley, CA 92553-5229

Fax (951) 252-7733

Mailing address

2275 South Main Street, Suite 201
Corona, CA 92882

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891156295

Roberto Dominicci Rodriguez, PPS's National Provider Identifier is 1891156295, issued on Mar 11, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jul 13, 2016.