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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RODOLFO REALYVASQUEZ

Active Sole Proprietor

RODOLFO REALYVASQUEZ is a Licensed Practical Nurse healthcare provider located in FORT HUACHUCA, Arizona. NPI 1336506831 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · FORT HUACHUCA, AZ

Registration Details

NPI Number
1336506831
Provider Type
Individual
Gender
Male
NPI Issued
Jan 28, 2016 (10.504409467689 yrs)
Last Updated
Jan 28, 2016
License
LP034456 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2240 WINROW RD
FORT HUACHUCA, AZ, 856135080
Browse AZ providers · Browse ZIP 85613
Phone
5205339033
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in FORT HUACHUCA, AZ

Name Credential NPI
MRS. VIRGINIA MARY PERRY LPN 1922048404
MRS. KATHLEEN ARCHER LPN 1114960176
MRS. ROSA ALMA HERNANDEZ 1386001881
SERENA HERNANDEZ 1881052355
LISA BUEHLER LPN 1619335338
BOBBETTE HOMESLEY 1821457219
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.