Individual
STACEY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-7947
(253) 968-4700
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-4700
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
816546
TX
Other
Enumeration date
05/30/2006
Last updated
01/10/2022
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