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Brian Bacan Rodriguez

NPI 1508643180 · on the registry since 2023 · sole proprietor

Practice

Address
221 Se Nighthawk Pl
Shelton, WA 98584
Phone
(850) 774-5850

Registry record

Primary taxonomy
171R00000X
171R00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington