Individual
CHERYL A RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
720 CHICAGO ST, RACINE, WI 53405-2648
(262) 634-3558
Mailing address
9312 S 33RD ST, FRANKLIN, WI 53132-9153
(414) 761-9518
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
11232-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3927648400
—
WI
Enumeration date
01/28/2007
Last updated
07/08/2007
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