Individual
MS. ANNETTE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7029 S BROADWAY, SAINT LOUIS, MO 63111-3119
(314) 906-1936
Mailing address
7029 S BROADWAY, SAINT LOUIS, MO 63111-3119
(314) 906-1936
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
2011079
MO
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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