Individual
ERNESTO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5143 TITANIUM CT, LAS VEGAS, NV 89120-1644
(702) 409-9043
Mailing address
5143 TITANIUM CT, LAS VEGAS, NV 89120-1644
(702) 409-9043
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
2104708564
NV
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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