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Individual

IVELISSE M RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
1477 MAIN ST UNIT 1005, KANSAS CITY, MO 64105-3601
(787) 717-2250

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64250
PR

Other

Enumeration date
02/14/2025
Last updated
02/14/2025
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