Individual
DAVID LEE RODRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
100 NM HIGHWAY 22, SANTO DOMINGO PUEBLO, NM 87052-1249
(505) 404-5609
Mailing address
411 ROSS AVE, HEREFORD, TX 79045-5152
(806) 853-4984
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN-21817
NM
Other
Enumeration date
08/29/2024
Last updated
05/14/2025
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