Rodriguez, Tina Marie

Rodriguez, Tina Marie is an individual health care provider with primary practice located at 250 N See Vee Ln , Bishop CA 93514-8130. She recently has only one registered license in Nursing Service Providers / Hemodialysis, which is considered as her primary health care specialty. Rodriguez, Tina Marie can be contacted via phone (760) 873-7611.

Contact Information

Primary practice address
250 N See Vee Ln Bishop CA 93514-8130
Phone: (760) 873-7611
Fax: (760) 873-3361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hemodialysis 163WH0500X 545780 California

Profile Details

NPI number 1437700382
LBN Legal business name Rodriguez, Tina Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2019
Last updated Sep 23rd, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437700382 NPPES
California MEDICAID THP11576F

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