Individual provider · Type 1 NPI
Gwendolyn Rodriguez, CRANIAL PROSTHETIC
Customized Equipment (DME) · Richmond, VA
NPI number
1760996938
Active
Practice location
808 Circlewood Dr
Richmond, VA 23224-1604
Fax (804) 325-0096
Other practice locations
- 10101 Brook Rd, Glen Allen, VA 23059-4225 · (804) 325-0096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 22RO00331168 (NY) |
| Customized Equipment (DME) Primary | 332BC3200X | 1204017518 (VA) |
Customized Equipment (DME): Definition to come...
About NPI 1760996938
Gwendolyn Rodriguez, CRANIAL PROSTHETIC's National Provider Identifier is 1760996938, issued on Nov 27, 2017. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Richmond, VA. The record was last updated on Mar 17, 2018.