Individual
JEANETTE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20403 ENCINO LEDGE UNIT 592022, SAN ANTONIO, TX 78259-0843
(210) 901-8841
Mailing address
20403 ENCINO LEDGE UNIT 592022, SAN ANTONIO, TX 78259-0843
(210) 901-8841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1142892
TX
Other
Enumeration date
12/04/2023
Last updated
02/17/2024
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