Individual
ELIZABETH RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5568 S FORT APACHE RD, LAS VEGAS, NV 89148-3602
(949) 793-1056
Mailing address
10508 HARVEST WIND DR, LAS VEGAS, NV 89135-4015
(949) 793-1056
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9942
NV
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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