Individual
MR. ROCKY LUGO RODRIQUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
3511 CAROL ANN WAY, ROSWELL, NM 88201-1051
(575) 910-2251
Mailing address
3511 CAROL ANN WAY, ROSWELL, NM 88201-1051
(575) 910-2251
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3008
NM
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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