Individual
GLORIA A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
11155 DUNN RD STE 109N, SAINT LOUIS, MO 63136-6148
(314) 953-8799
(314) 953-8798
Mailing address
11155 DUNN RD STE 109N, SAINT LOUIS, MO 63136-6148
(314) 953-8799
(314) 953-8798
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2019020198
MO
Other
Enumeration date
12/12/2019
Last updated
03/15/2021
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