Individual
HEATHER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 CLEMENTE CT, MIDLAND, TX 79706-2920
(361) 523-9393
Mailing address
1017 CLEMENTE CT, MIDLAND, TX 79706-2920
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
228059
TX
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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