Individual ProviderWesley Mapua RodriguezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address5136 Kenneth Ave, Fair Oaks, CA 95628-5332(530) 902-4058PECOS EnrollmentBased on the most recent information from CMS, provider Wesley Mapua Rodriguez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003371535Provider TypeIndividualFull NameRodriguez, Wesley MapuaGenderMaleSole ProprietorYesEnumeration Date2/8/2019Last Updated2/8/2019Contact InformationPractice LocationPractice Address5136 Kenneth Ave, Fair Oaks, CA 95628-5332Phone(530) 902-4058FaxUnlisted FaxMailing LocationMailing Address6400 Tupelo Dr, Citrus Heights, CA 95621-1741PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer