Provider Information for 1922709740
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Mrs. JANESSA GORENA RODRIGUEZ LPC
Sex: Female
NPI: 1922709740
Last Updated: 2023-04-28
Certification Date: 2023-04-28
Certification Date: 2023-04-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1922709740 | ||||||||
| Enumeration Date | 2023-03-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 749 PHARR, TX 78577-1614 United States Phone: 956-362-8290 | Fax:956-362-8295 | ||||||||
| Primary Practice Address | 2821 MICHAELANGELO DR STE 204 EDINBURG, TX 78539-1423 United States Phone: 956-362-8290 | Fax:956-362-8295 | ||||||||
| Secondary Practice Address(es) | 2821 MICHAELANGELO DR STE 200 | ||||||||
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