Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENDOLYN RODRIGUEZ, CRANIAL PROSTHETIC
Active Sole ProprietorGWENDOLYN RODRIGUEZ, CRANIAL PROSTHETIC is a Customized Equipment (DME) healthcare provider located in RICHMOND, Virginia. NPI 1760996938 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · RICHMOND, VA
Registration Details
- NPI Number
- 1760996938
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 27, 2017 (8.7228346554885 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
22RO00331168 (NY)1204017518 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
808 CIRCLEWOOD DRRICHMOND, VA, 232241604Browse VA providers · Browse ZIP 23224
- Phone
- 8043250096
- Fax
- 8043250096
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
- Additional Specialty
- Customized Equipment (DME)
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.