Individual
ROSA LYDIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
330 BROOK COVE LN, LEWISVILLE, TX 75067
(469) 464-6083
Mailing address
330 BROOK COVE LN, LEWISVILLE, TX 75067-5302
(469) 464-6083
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT037351
TX
Other
Enumeration date
08/29/2018
Last updated
08/30/2018
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