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NPI Code Detail

MEDICARE: ELSA MARIE RODRIGUEZ

MEDICARE:   ELSA MARIE RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1972782886
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELSA MARIE RODRIGUEZ
Provider Business Mailing Address
First Line : 1191 CENTRAL BLVD
Second Line : SUITE A
City : BRENTWOOD
State : CA
Zip : 94513-2279
Country : US
Telephone Number : 925-634-4445
Fax Number : 925-634-6235
Provider Business Practice Location Address
First Line : 1191 CENTRAL BLVD
Second Line : SUITE A
City : BRENTWOOD
State : CA
Zip : 94513-2279
Country : US
Telephone Number : 925-634-4445
Fax Number : 925-634-6235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2007
Last Update Date : 10/26/2007

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Directions to “ ELSA MARIE RODRIGUEZ ” Practice Location

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