Individual
MR. ABRAHAM RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2376 BLACK AVE, ENID, OK 73703-7370
(210) 336-3397
Mailing address
2376 BLACK AVE, ENID, OK 73703-8573
(210) 336-3397
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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