Individual
JESSICA LYNN RUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 TAYLOR ST, HARPERS FERRY, WV 25425-3641
(304) 535-6343
(304) 535-6618
Mailing address
74 BEAUTY ST, MARTINSBURG, WV 25405-1431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31182
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
09/28/2022
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