Individual
AMANDA ROSE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 8TH ST STE 100, WICHITA FALLS, TX 76301-6818
(940) 761-9986
Mailing address
909 8TH ST STE 100, WICHITA FALLS, TX 76301-6818
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344768
TX
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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