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Gwendolyn Rodriguez, CRANIAL PROSTHETIC — NPI 1760996938, Richmond, VA | NPI Central

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NPI 1760996938

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Gwendolyn Rodriguez, CRANIAL PROSTHETIC

NPI 1760996938 · Customized Equipment (DME) · Richmond, VA

Provider details

NPI number: 1760996938
Entity type: Individual
Primary specialty: Customized Equipment (DME)Suppliers
Credential: CRANIAL PROSTHETIC
Sex: Female
Sole proprietor: Yes
License: 22RO00331168 (NY)

Specialties & taxonomies

Customized Equipment (DME)Primary332BC3200XLicense 1204017518 (VA)
Suppliers
Customized Equipment (DME)332BC3200XLicense 22RO00331168 (NY)
Suppliers

Practice location

808 Circlewood Dr

Richmond, VA 23224-1604

Phone: (804) 325-0096

Fax: (804) 325-0096

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

808 Circlewood Dr

Richmond, VA 23224-1604

Additional practice locations (1)

10101 Brook Rd
Glen Allen, VA 23059-4225
Phone: (804) 325-0096

Registry dates

Enumerated: 2017-11-27
Last updated: 2018-03-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.