Provider Demographics
NPI:1669754610
Name:RODAS-LINDSTROM, BRENDA AUDREY (DC)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:AUDREY
Last Name:RODAS-LINDSTROM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:BRENDA
Other - Middle Name:AUDREY
Other - Last Name:RODAS-LINDSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:250 BEL MARIN KEYS BLVD STE F3
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-5730
Mailing Address - Country:US
Mailing Address - Phone:415-295-7227
Mailing Address - Fax:415-295-4135
Practice Address - Street 1:250 BEL MARIN KEYS BLVD STE F3
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94949-5730
Practice Address - Country:US
Practice Address - Phone:415-295-7227
Practice Address - Fax:415-295-4135
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31934111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor