Individual
AUDRA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3300 GALLOWS RD, PHYSICIAN BILLING, FALLS CHURCH, VA 22042-3307
(703) 776-2545
(703) 776-2917
Mailing address
100 WITMER RD, HORSHAM, PA 19044-2251
(215) 442-5073
(877) 432-6213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001066
VA
Other
Enumeration date
11/08/2007
Last updated
02/26/2019
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