Rediclinic LLC

NPI #1285752527 in Glen Allen, Virginia

Provider Information

NPI Number
1285752527
Entity Type
Organization
Organization Name
Rediclinic LLC
Primary Specialty
Clinic/Center
Enumeration Date
Mar 26, 2007
Last Updated
Jan 20, 2009

Practice Location

Address
11400 W BROAD ST
ZIP Code
23060-5821
Phone
(866) 935-0333

Authorized Official

Name
ERIC P FOURNET
Title
CFO
Phone
(713) 580-9468

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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