Individual
MARY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
104 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 942-2803
Mailing address
104 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 942-2803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1377T3
NC
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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