Diannette Marie Rodriguez Garcia, BA, MS

Individual provider Active NPI Case Manager/Care Coordinator · Kodiak, AK

NPI 1376254342 · NPPES record last updated Dec 9, 2022

Key facts

NPI
1376254342
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
323 Carolyn St
Kodiak, AK 99615-6376
Phone
(907) 486-9870
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts, Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

323 Carolyn St
Kodiak, AK 99615-6376

Mailing address

3449 E Rezanof Dr
Kodiak, AK 99615-6952
Phone (907) 486-9870

Other providers in Kodiak, AK

All providers in Kodiak, AK · Case Manager/Care Coordinator in Alaska

Sources for this page

Verify at the official NPI Registry.