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Jan Louise Rodriguez
Durable Medical Equipment & Medical Supplies in Grand Terrace, California
NPI 1437144540

Jan Louise Rodriguez is a Durable Medical Equipment & Medical Supplies based in Grand Terrace, CA. Jan Louise Rodriguez practices in Grand Terrace, CA. The NPI Number for Jan Louise Rodriguez is 1437144540 and holds a License No. 332B00000X (California).

The current practice location address for Jan Louise Rodriguez is 12210 Michigan St, Grand Terrace, CA and can be reached out via phone at 909-825-5213 and via fax at 909-825-2843.

Location: 12210 Michigan St, Grand Terrace, CA, 92313-5484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437144540
Provider Name
Jan Louise Rodriguez
Credential
Provider Entity Type
Organization
Address
12210 Michigan St, Grand Terrace, CA, 92313-5484
Phone Number
909-825-5213
Fax Number
909-825-2843
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DME02924F 05 CA
DME02924F 01 CA MEDICAL PROVIDER #
institution
Provider Business Practice Location Address Details
Address
12210 Michigan St
City
Grand Terrace
State
California
Zip
92313-5484
Phone Number
909-825-5213
Fax Number
909-825-2843
person
Provider Business Mailing Address Details
Address
12210 Michigan St
City
Grand Terrace
State
California
Zip
92313-5484
Phone Number
909-825-5213
Fax Number
909-825-2843
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
332B00000X (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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