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Individual

DESTINY RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1510 N ZARAGOZA RD STE A12, EL PASO, TX 79936-7893
(915) 921-6881
Mailing address
1510 N ZARAGOZA RD STE A12, EL PASO, TX 79936-7893
(915) 921-6881

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225X00000X
Occupational Therapist
Primary
121706
TX

Other

Enumeration date
03/02/2018
Last updated
04/14/2021
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