Individual
MRS. LISA ANN JUAREZ-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3765 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1643
(361) 773-8817
Mailing address
1821 TREYWAY LN, CORPUS CHRISTI, TX 78412-4639
(361) 739-8817
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
305534
TX
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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