Individual
JAMIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1631 N MAIN ST APT B, COPPERAS COVE, TX 76522-8823
(801) 232-6498
Mailing address
1631 N MAIN ST APT B, COPPERAS COVE, TX 76522-8823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
790682
TX
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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