Individual
GIDSON JOHN RODRIGO ONDAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-5321
Mailing address
2545 E TREMONT CT, RICHMOND, VA 23225-1952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001269908
VA
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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