Individual
MS. DIANE RODRIGUEZ PEQUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
15014 ROCKINGTON LN, CHANNELVIEW, TX 77530-2295
(832) 971-6194
Mailing address
609 SPOONER ST, PASADENA, TX 77506-2426
(832) 971-6194
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
134837
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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