Gwendolyn Rodriguez, CRANIALPROSTHETIC
Gwendolyn Rodriguez, CRANIALPROSTHETIC is a Customized Equipment (DME) in Richmond, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in New York and Virginia.
- Licensed in
- NY, VA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
808 Circlewood DrRichmond, VA 23224-1604
Phone: (804) 325-0096
Fax: (804) 325-0096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 10101 Brook Rd, Glen Allen, VA 23059-4225 — (804) 325-0096
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 1204017518 (VA) |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X · Licence 22RO00331168 (NY) |
Record details
| NPI number | 1760996938 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRANIALPROSTHETIC |
| Sole proprietor | Yes |
| NPI enumerated | November 27, 2017 |
| Last updated in NPPES | March 17, 2018 |
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