Individual
JESSICA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5917 CABRILLO DR, EL PASO, TX 79912-5103
(915) 241-2618
Mailing address
5917 CABRILLO DR, EL PASO, TX 79912-5103
(915) 241-2618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
961804
TX
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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