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MR. RODOLFO GONZALES SAN JUAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
9300 DEWITT LOOP BLDG 1203, FORT BELVOIR, VA 22060-5285
(571) 562-0444
Mailing address
9409 STIMSON RD BLDG 8151, FORT BELVOIR, VA 22060-2225
(703) 805-0113

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
50652
HI
163WG0600X
Gerontology Registered Nurse
20200099687
MD
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
2000643163
CA

Other

Enumeration date
09/13/2007
Last updated
11/20/2025
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