MEDICARE: BRITTANY 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
1	246QM0706X	Medical Technologist

General Provider Information

NPI Number	:	1811743941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY RODRIGUEZ

Provider Business Mailing Address
First Line	:	732 OLIVIERI LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-5731
Country	:	US
Telephone Number	:	757-500-1691
Fax Number	:

Provider Business Practice Location Address
First Line	:	732 OLIVIERI LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-5731
Country	:	US
Telephone Number	:	757-500-1691
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	04/29/2024

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Directions to “ BRITTANY RODRIGUEZ ” Practice Location

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