Individual
MARTIN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 SPRING ST, MORRISON, CO 80465-2532
(303) 697-8181
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5705
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
344570
TX
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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