Individual
STEPHANIE NICOLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
3400 WATERVIEW PKWY STE 305, RICHARDSON, TX 75080-1566
(214) 551-0257
Mailing address
1301 WILDERNESS ST, DENTON, TX 76205-5137
(815) 970-3499
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
04/02/2024
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