Individual
ADRIEL RAE RODRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 ROOSEVELT, ROIY, NM 87743
(575) 485-2223
Mailing address
525 ROOSEVELT, ROIY, NM 87743
(575) 485-2223
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-87530
NM
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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