Individual
JORDEONIA RUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36954 FARMBROOK DR, CLINTON TWP, MI 48035-1537
(586) 871-3438
Mailing address
36954 FARMBROOK DR, CLINTON TWP, MI 48035-1537
(586) 871-3438
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703116008
MI
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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