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Individual

MS. MICHELLE G. RODRIQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
880 E. IDAHO AVE, LAS CRUCES, NM 88001
(575) 527-7910
(575) 527-4457
Mailing address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 647-2800
(575) 647-2898

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18677037
NM
Enumeration date
04/17/2012
Last updated
02/06/2015
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