Individual
LISA ANN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4018 MIDVALE DR, SAN ANTONIO, TX 78229-4128
(210) 445-0353
Mailing address
4018 MIDVALE DR, SAN ANTONIO, TX 78229-4128
(210) 445-0353
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
669340
TX
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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