Individual
ERICA MARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
662 10TH ST, FLORESVILLE, TX 78114-3186
(830) 321-9833
Mailing address
386 PALOMA DR APT 437, FLORESVILLE, TX 78114-0016
(210) 660-0652
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
3329
TX
246ZA2600X
Medical Art Specialist/Technologist
Primary
1006437
TX
Other
Enumeration date
06/02/2022
Last updated
06/07/2022
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