Individual
ROSEMARY C RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1020 TIJERAS AVE NE STE 22, ALBUQUERQUE, NM 87106-4749
(505) 727-1670
(505) 727-9590
Mailing address
1020 TIJERAS AVE NE STE 22, ALBUQUERQUE, NM 87106-4749
(505) 727-1670
(505) 727-9590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2017-0070
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68539501
—
NM
Enumeration date
02/06/2018
Last updated
07/14/2021
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