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Individual

MRS. SANDRA C RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(915) 208-0243
Mailing address
12487 TIERRA ENCINO DR, EL PASO, TX 79938-4524
(915) 929-9409

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
649668
TX
363LF0000X
Family Nurse Practitioner
Primary
AP122574
TX

Other

Enumeration date
10/25/2012
Last updated
09/23/2020
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