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Individual

MS. ROSANNA RENEE RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IDC

Contact information

Practice address
2250 STANLEY RD, SUITE 36, FORT SAM HOUSTON, TX 78234-2640
(210) 295-8606
(210) 221-1200
Mailing address
2250 STANLEY RD, SUITE 36, FORT SAM HOUSTON, TX 78234-2640
(210) 295-8606
(210) 221-1200

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
10/22/2008
Last updated
10/22/2008
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