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Individual
MRS. SUSAN ELLEN FISHMAN TUDOR
Active
Individual
MRS. SUSAN ELLEN FISHMAN TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
17539
CA
111N00000X
Chiropractor
Y005601
NY
163W00000X
Registered Nurse
330605
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
330605
CA
Other
Enumeration date
07/11/2007
Last updated
09/10/2020
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