Individual
MS. LESLIE ERICA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1380 S COLUMBIA RD, GRAND FORKS, ND 58201-4059
(701) 780-6110
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201-4183
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R40504
ND
363LP0200X
Pediatric Nurse Practitioner
Primary
R40504
ND
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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