Individual
ALTHEA K DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
419 KIMMEL DR, CEDAR HILL, TX 75104-5020
(214) 705-5118
Mailing address
419 KIMMEL DR, CEDAR HILL, TX 75104-5020
(214) 705-5118
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
219572
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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