Individual
KIMBERLY C RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
11100 BILLINGSLEY RD, WALDORF, MD 20602-3400
(240) 754-6120
Mailing address
2655 ROOKS HEAD PL, WALDORF, MD 20602-2057
(301) 357-1180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R250988
MD
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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