Individual
AMMIE WILSON RODDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
866 CAMPUS DR, STANFORD, CA 94305-8508
(650) 498-2336
Mailing address
737 MAYFIELD AVE, STANFORD, CA 94305-1000
(650) 320-8955
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19252
CA
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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