Individual
TRISHA RAE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2571 VOLTA CIR, KISSIMMEE, FL 34746-3465
(407) 712-5567
Mailing address
2571 VOLTA CIR, KISSIMMEE, FL 34746-3465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9366690
FL
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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