Individual
GWENDOLYN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRANIAL PROSTHETIC
Contact information
Practice address
808 CIRCLEWOOD DR, RICHMOND, VA 23224-1604
(804) 325-0096
(804) 325-0096
Mailing address
808 CIRCLEWOOD DR, RICHMOND, VA 23224-1604
(804) 325-0096
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1204017518
VA
332BC3200X
Customized Equipment (DME)
22RO00331168
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720185762
—
VA
Enumeration date
11/27/2017
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us