Provider Demographics
NPI:1528262276
Name:RODRIGUEZ, MARIE (ND)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 KENYON ST NW
Mailing Address - Street 2:#301
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2353
Mailing Address - Country:US
Mailing Address - Phone:703-282-5331
Mailing Address - Fax:
Practice Address - Street 1:1325 G ST NW
Practice Address - Street 2:STE. 500
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3104
Practice Address - Country:US
Practice Address - Phone:703-282-5331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001182175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath