Individual
HOLLY ELAINE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 482-5292
Mailing address
475 WHISPERING PINES DR, SPRING LAKE, NC 28390-7036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
249517
NC
163W00000X
Registered Nurse
757599
CA
163W00000X
Registered Nurse
T95717
NC
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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