Rodriguez, Licenia
Rodriguez, Licenia is an sole proprietor health care provider with primary practice located at 3645 S Montreal Pl , Tucson AZ 85730-3223. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Rodriguez, Licenia can be contacted via phone (520) 305-7861.Contact Information
Primary practice address
3645 S Montreal Pl
Tucson AZ 85730-3223
Phone: (520) 305-7861
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | BH6821 | Arizona |
Profile Details
| NPI number | 1043889363 |
|---|---|
| LBN Legal business name | Rodriguez, Licenia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2021 |
| Last updated | Jun 21st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043889363 | NPPES |
| Arizona | Other | BH6821 | AZ DEPT OF HEALTH SERVICES |
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