Individual
TIARA DOLORES RUDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-CNS BC
Contact information
Practice address
3650 VAN BUREN ST, HUDSONVILLE, MI 49426-1097
(616) 669-1520
Mailing address
1355 BRISTOL AVE NW, GRAND RAPIDS, MI 49504-2902
(219) 477-8854
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
4704345043
MI
Other
Enumeration date
07/24/2024
Last updated
08/15/2024
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