Individual
DANIEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2621 LOUISVILLE AVE, EL PASO, TX 79930-1627
(915) 269-1216
Mailing address
2621 LOUISVILLE AVE, EL PASO, TX 79930-1627
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
230840
TX
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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