NPI 1700199601

Pauline Eva Rodriguez, MSVE

Practitioner Developmentally Disabled Services Day Training Agency Fairbanks, AK

Practice location

Address: 122 1st Ave Suite 201, Fairbanks, AK 99701-4803
Phone: (907) 452-6434
Fax: (907) 451-6598

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 251C00000X (AK)

Other Day Training, Developmentally Disabled Services providers in Alaska →

Registry record

NPI: 1700199601
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2010
Record last updated: 20 Jul 2010

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.