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Marilyn Rodriguez-Maldonado

Licensed Vocational Nurse in Santa Rosa, CA. Individual provider (NPI-1).

NPI number1568870533
StatusActive
Last updated in NPPESJul 23, 2014

Details

NPI
1568870533
Entity type
Individual (NPI-1)
Name
Marilyn Rodriguez-Maldonado
Sex
Female
Sole proprietor
No
Enumeration date
Jul 23, 2014
Last updated
Jul 23, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational NurseVN279769CAYes

Practice location

1901 Cleveland Ave #b
Santa Rosa Treatment Program
Santa Rosa, CA 95401

Phone 707-576-0818

Mailing address

1901 Cleveland Ave #b
Santa Rosa Treatment Program
Santa Rosa, CA 95401

Phone 707-576-0818 · Fax 707-576-7845

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