Individual
ELIZABETH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 MILDRED LN, BENBROOK, TX 76126-3318
(817) 683-4343
Mailing address
219 MILDRED LN, BENBROOK, TX 76126-3318
(817) 683-4343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
970389
TX
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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