Individual
PAULA SUE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4221 WINIFRED ST, WAYNE, MI 48184-2205
(313) 723-7593
Mailing address
4221 WINIFRED ST, WAYNE, MI 48184-2205
(313) 723-7593
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703120904
MI
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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