Individual
AMBER MASCHELL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 42ND ST, SNYDER, TX 79549-6056
(505) 486-9774
Mailing address
2103 42ND ST, SNYDER, TX 79549-6056
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310940
TX
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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