Individual
MRS. JACQUELYN MARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
315 HIGHVIEW DR, SAN ANTONIO, TX 78228-1847
(210) 478-0884
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
813596
TX
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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