Mirella Ivellise Rodriguez
NPI #1497006837 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1497006837
- Entity Type
- Individual
- Name
- Mirella Ivellise Rodriguez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Rehabilitation Counselor
- Enumeration Date
- Sep 25, 2012
- Last Updated
- Sep 25, 2012
Practice Location
- Address
- 2135 WOODBURN DR SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-4385
- Phone
- (616) 340-5387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Counselor |
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