Individual
RUDOLPH THEODORE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
1795 JET WING DR, COLORADO SPRINGS, CO 80916-2332
(719) 572-6100
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1621936
CO
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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