Individual
KARISSA BRIANNA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
2215 PEARL AVENUE, FORT WORTH, TX 76164
(817) 542-8375
Mailing address
2215 PEARL AVENUE, FORT WORTH, TX 76164
(817) 542-8375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1007478
TX
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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