Ivelisse Rodriguez
NPI #1376001081 in Willow Street, Pennsylvania
Provider Information
- NPI Number
- 1376001081
- Entity Type
- Individual
- Name
- Ivelisse Rodriguez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 12, 2019
- Last Updated
- Mar 12, 2019
Practice Location
- Address
- 212 WILLOW VALLEY LAKES DR
- City
- Willow Street
- State
- Pennsylvania
- ZIP Code
- 17584-9668
- Phone
- (717) 224-5819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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