Individual
SAMANTHA D RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 887-4610
Mailing address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 887-4610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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