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Individual
CRYSTAL RODRIGUEZ
Active
Individual
CRYSTAL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
984726
TX
164W00000X
Licensed Practical Nurse
319317
TX
164W00000X
Licensed Practical Nurse
PN5209881
FL
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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