Individual
LEICHA MARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4606 39TH ST, DICKINSON, TX 77539-5819
(281) 381-5188
Mailing address
4606 39TH ST, DICKINSON, TX 77539-5819
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
301986
TX
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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