Individual
IRMA CAROLINA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TANGERINE BLVD TRLR 94, BROWNSVILLE, TX 78521-4345
(956) 408-5902
Mailing address
100 TANGERINE BLVD TRLR 94, BROWNSVILLE, TX 78521-4345
(956) 408-5902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39881231
DRIVERS LICENSE
TX
Enumeration date
04/03/2021
Last updated
04/03/2021
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