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Contact Information

TINA M RODRIGUEZ, RN
250 N SEE VEE LN
BISHOP, CA93514-8130
 Phone: 760-873-7611
 Fax: 760-873-3361
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hemodialysis

163WH0500X
Indicates primary specialty

NPI Profile & details for TINA M RODRIGUEZ · (Female)

NPI # 1437700382
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/23/2019
Last updated 09/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 545780
  • CA Medicaid THP11576F
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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