Individual
BENJAMIN PATRICK TUDOR
Active
Individual
BENJAMIN PATRICK TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPHT, AEMT
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
2175794276
KY
183700000X
Pharmacy Technician
00019910PT
KY
247200000X
Other Technician
—
—
Other
Enumeration date
09/23/2009
Last updated
08/06/2011
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