Juan Antonio Rodriguez
Contractor in Mesa, AZ. Individual provider (NPI-1).
NPI number1457728842
StatusActive
Last updated in NPPESSep 1, 2015
Details
- NPI
- 1457728842
- Entity type
- Individual (NPI-1)
- Name
- Juan Antonio Rodriguez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2015
- Last updated
- Sep 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | LP046695 | AZ | Yes |
Practice location
32 S MacdonaldMesa, AZ 85210-1310
Phone 480-969-1471 · Fax 480-269-9426
Mailing address
4558 E Dublin StGilbert, AZ 85295-5819
Phone 623-850-0883 · Fax 623-815-1222
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