Rodolfo Realyvasquez
NPI #1336506831 in Fort Huachuca, Arizona
Provider Information
- NPI Number
- 1336506831
- Entity Type
- Individual
- Name
- Rodolfo Realyvasquez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jan 28, 2016
- Last Updated
- Jan 28, 2016
Practice Location
- Address
- 2240 WINROW RD
- City
- Fort Huachuca
- State
- Arizona
- ZIP Code
- 85613-5080
- Phone
- (520) 533-9033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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