Individual
ANDREA RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1440 GORDON RD, LYNDHURST, OH 44124-1341
(216) 377-9089
Mailing address
1440 GORDON RD, LYNDHURST, OH 44124-1341
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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