Individual
SANDRA CLARE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2111 MISSION AVE, OCEANSIDE, CA 92058-2395
(760) 901-8020
Mailing address
PO BOX 1322, FALLBROOK, CA 92088-1322
(760) 468-4453
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
399426
CA
302F00000X
Exclusive Provider Organization
CCS00042F
CA
Other
Enumeration date
06/04/2020
Last updated
03/10/2021
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