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Individual

ELIZABETH RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1700 CARGO CT, LOUISVILLE, KY 40299-1938
(502) 749-6764
Mailing address
411 BERETTA DR, BARDSTOWN, KY 40004-5734
(502) 331-5753

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2053138
KY

Other

Enumeration date
10/07/2019
Last updated
10/07/2019
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