Individual
STEPHEN A RODRIGUEZ WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
17872 TYLER DR NW, ELK RIVER, MN 55330-4720
(612) 760-2624
Mailing address
17872 TYLER DR NW, ELK RIVER, MN 55330-4720
(612) 760-2624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R192997-3
MN
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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