Rodolfo Realyvasquez
Rodolfo Realyvasquez is a Licensed Practical Nurse in Fort Huachuca, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2016
Practice location Address checks out
2240 Winrow RdFort Huachuca, AZ 85613-5080
Phone: (520) 533-9033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence LP034456 (AZ) |
|---|
Record details
| NPI number | 1336506831 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 28, 2016 |
| Last updated in NPPES | January 28, 2016 |
| Mailing address | 21 E Berridge Dr, Sierra Vista, AZ 85635-3117 |
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Mrs. Rachel Tripp
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Brenda Vargas
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