Individual
TAMMY AVA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E MAIN ST, ALICE, TX 78332-4969
(361) 396-4029
Mailing address
1205 E NETTIE AVE, KINGSVILLE, TX 78363-4052
(361) 389-8654
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40878
TX
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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