NPI 1538866033

Julie Ann Rodriguez

Practitioner Driver Weiser, ID

Practice location

Address: 30 Maple Dr, Weiser, ID 83672-1566
Phone: (208) 513-0222
Mailing address: 641 W Butterfield St, Weiser, ID 83672-1611

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence D10792177 (AZ)

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Registry record

NPI: 1538866033
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2023
Record last updated: 14 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.