Individual
TIA N RUDISILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
82 JOHNNIE WASHINGTON DR, EAST FLAT ROCK, NC 28726-0280
(828) 388-6392
Mailing address
82 JOHNNIE WASHINGTON DR, EAST FLAT ROCK, NC 28726-0280
(828) 388-6392
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
02/16/2024
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