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NPI Code Detail

MEDICARE: ANGELIA KRISTINE RODRIGUEZ GARCIA

MEDICARE: ANGELIA KRISTINE RODRIGUEZ GARCIA
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
1146N00000XBasic Emergency Medical Technician
22255A2300XAthletic Trainer

General Provider Information

NPI Number : 1679273874
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELIA KRISTINE RODRIGUEZ GARCIA
Provider Business Mailing Address
First Line : 1115 E GETWELL LOOP
Second Line :
City : MEMPHIS
State : TN
Zip : 38152-4210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1115 E GETWELL LOOP
Second Line :
City : MEMPHIS
State : TN
Zip : 38152-4210
Country : US
Telephone Number : 901-678-5119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2023
Last Update Date : 05/22/2024

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Directions to “ ANGELIA KRISTINE RODRIGUEZ GARCIA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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