Individual
JISSELLE C RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 TAFT BLVD, WICHITA FALLS, TX 76308-7630
(214) 949-9000
Mailing address
3410 TAFT BLVD, WICHITA FALLS, TX 76308-2096
(214) 949-9000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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