Itzayana Rodriguez
Technician, Attendant Care Provider in Rockford, IL. Individual provider (NPI-1).
NPI number1720685704
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1720685704
- Entity type
- Individual (NPI-1)
- Name
- Itzayana Rodriguez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2020
- Certification date
- Oct 2, 2020
- Last updated
- Oct 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | r362-4120-0822 | IL | Yes |
Practice location
5037 Carol CtRockford, IL 61108-4157
Phone 815-601-1011
Mailing address
5037 Carol CtRockford, IL 61108-4157
Phone 815-601-1011
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