Individual
MATTHEW RODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.M.D., L.AC.
Contact information
Practice address
2675 WINDMILL PKWY APT 421, HENDERSON, NV 89074
(516) 978-7799
Mailing address
2675 WINDMILL PKWY APT 421, HENDERSON, NV 89074-3395
(516) 978-7799
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2014
NV
171100000X
Acupuncturist
AC 16544
CA
Other
Enumeration date
05/08/2015
Last updated
07/16/2018
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