Individual
GIA RENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7635 ADDISEN PATH, INVER GROVE HEIGHTS, MN 55077-4108
(651) 528-3400
Mailing address
7635 ADDISEN PATH, INVER GROVE HEIGHTS, MN 55077-4108
(651) 528-3400
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
11635
MN
261QU0200X
Urgent Care Clinic/Center
Primary
11635
MN
363AM0700X
Medical Physician Assistant
11635
MN
Other
Enumeration date
04/17/2013
Last updated
04/09/2021
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