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Individual

CAROL MARIE RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT TEXAS #114679

Contact information

Practice address
218 N ARROYO BLVD STE C, LOS FRESNOS, TX 78566-3250
(956) 708-8023
Mailing address
34493 CALLE DE CRUZ, LOS FRESNOS, TX 78566-5177
(956) 708-8023

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
114679
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114679
LMT
TX
Enumeration date
04/28/2026
Last updated
04/28/2026
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