Individual
SHARON RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
518 W 19TH AVE, ANCHORAGE, AK 99503-1830
(907) 563-8558
Mailing address
518 W 19TH AVE, ANCHORAGE, AK 99503-1830
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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