Individual
SUSAN RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4556 SHOSHONE DR, LARKSPUR, CO 80118-8451
(303) 681-0743
Mailing address
4556 SHOSHONE DR, LARKSPUR, CO 80118-8451
(303) 681-0743
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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