Mr. Klade Dane Rodriguez
Mr. Klade Dane Rodriguez is a Student in an Organized Health Care Education/Training Program in College Station, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2016
Practice location Address checks out
200 Marion Pugh Dr Apt 104College Station, TX 77840-2702
Phone: (254) 316-8275
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 36849484 (TX) |
|---|
Record details
| NPI number | 1740647486 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2016 |
| Last updated in NPPES | January 26, 2016 |
| Mailing address | P.O. Box 22, Satin, TX 76685 |
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