Individual
MRS. MARY JANE TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
834 ROBERT C BYRD DRIVE UNIT B, SOPHIA, WV 25921
(304) 683-3580
(304) 683-3582
Mailing address
PO BOX 103, 500 EAST RAILROAD AVE, SOPHIA, WV 25921
(304) 683-3580
(304) 683-3582
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
WV
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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