Individual
LISA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
115 CEDRON CHASE, SAN ANTONIO, TX 78253-5254
(409) 351-1938
Mailing address
115 CEDRON CHASE, SAN ANTONIO, TX 78253-5254
(409) 351-1938
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347084
TX
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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