Individual
GENDARANESHY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
510 FM 223 RD, SHEPHERD, TX 77371-6160
(832) 305-3636
Mailing address
510 FM 223 RD, SHEPHERD, TX 77371-6160
(832) 305-3636
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
218547
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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