Realyvasquez, Rodolfo

Realyvasquez, Rodolfo is an sole proprietor health care provider with primary practice located at 2240 Winrow Rd , Fort Huachuca AZ 85613-5080. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Realyvasquez, Rodolfo can be contacted via phone (520) 533-9033.

Contact Information

Primary practice address
2240 Winrow Rd Fort Huachuca AZ 85613-5080
Phone: (520) 533-9033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP034456 Arizona

Profile Details

NPI number 1336506831
LBN Legal business name Realyvasquez, Rodolfo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2016
Last updated Jan 28th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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