SearchArizona310400000X

Gina Rodriguez

NPI 1922656800 · on the registry since 2019 · sole proprietor

Practice

Address
1826 N 43rd St
Phoenix, AZ 85008
Phone
(480) 289-1628

Registry record

Primary taxonomy
310400000X
310400000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-03

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 Arizona