Individual
VANIA P RUDOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
60225581
WA
207Q00000X
Family Medicine Physician
MD60225581
WA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD60225581
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014906
—
WA
Enumeration date
06/22/2009
Last updated
05/21/2025
Update your record
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