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Mr. Kevin Omar Rodriguez
Student in an Organized Health Care Education/Training Program in San Rafael, California
NPI 1215581368

Kevin Omar Rodriguez is a Student in an Organized Health Care Education/Training Program based in El Paso, CA. Kevin Omar Rodriguez practices in San Rafael, CA. The NPI Number for Kevin Omar Rodriguez is 1215581368 and holds a License No. (California).

The current practice location address for Kevin Omar Rodriguez is 3270 Kerner Blvd, San Rafael, CA and can be reached out via phone at 415-473-4274.

Location: 3270 Kerner Blvd, San Rafael, CA, 79902-4229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215581368
Provider Name
Kevin Omar Rodriguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
3270 Kerner Blvd, San Rafael, CA, 79902-4229
Phone Number
415-473-4274
Fax Number
Provider Enumeration Date
07/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3270 Kerner Blvd
City
San Rafael
State
California
Zip
94901-4840
Phone Number
415-473-4274
Fax Number
person
Provider Business Mailing Address Details
Address
3270 Kerner Blvd
City
San Rafael
State
California
Zip
94901-4840
Phone Number
415-473-4274
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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