| Doctor Name: | MS. LAURENTINA MARIE RODRIGUES |
| NPI Number: | 1871613331 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RDMS, RT |
| License Number: | 179918 |
| Business Practice Address: | 21945 Hess Ln Nuevo, CA - 925679329 |
| Business Phone Number: | 9519282464 |
| Business Fax Number: | |
| Mailing Address: | 21945 Hess Ln, NUEVO |
| State: | CA |
| Postal Code: | 925679329 |
| Phone Number: | 9519282464 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | 179918 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |