Individual
DR. NICHOLAS VINCENT DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
888 OAKWOOD ROAD, SUITE 220, CHARLESTON, WV 25314
(304) 415-5464
Mailing address
1521 RAMBLER ROAD, CHARLESTON, WV 25314
(304) 415-5464
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
96181
WV
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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