Individual
JAMIE LOUISE RODRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1201 EAST HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-5131
Mailing address
PO BOX 1661, PINE RIDGE, SD 57770-1661
(605) 867-1678
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
R036414
SD
Other
Enumeration date
11/18/2008
Last updated
07/07/2016
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