Individual
PENNY MARIE DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
434 BRIDGEWATER ST, FREDERICKSBURG, VA 22401-3304
(540) 785-0200
Mailing address
434 BRIDGEWATER ST, FREDERICKSBURG, VA 22401-3304
(540) 372-9866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556187
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194239
ANTHEM/BCBS/FEP
VA
Enumeration date
07/25/2006
Last updated
08/25/2023
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