Individual
GWENDOLYN NOELLE RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1601 POPLAR ST, LEADVILLE, CO 80461-3059
(720) 438-8158
Mailing address
PO BOX 1117, LEADVILLE, CO 80461-1117
(720) 438-8158
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00002512
CO
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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