Individual
JASMINE I RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12051 EQUESTRIAN RD, HORIZON CITY, TX 79928-2113
(915) 503-6122
Mailing address
12051 EQUESTRIAN RD, HORIZON CITY, TX 79928-2113
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
349387
TX
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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