Individual
GENNA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
622 S MEMORIAL DR, GREENVILLE, NC 27834-2854
(919) 910-4001
Mailing address
622 S MEMORIAL DR, GREENVILLE, NC 27834-2854
(919) 910-4001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
95355
NC
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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