Individual
COLLEEN RUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VISION SPECIALIST
Contact information
Practice address
205 GLENBURN RD, CLARKS GREEN, PA 18411-2534
(570) 575-5421
Mailing address
PO BOX 810, CLARKS SUMMIT, PA 18411-0810
(570) 575-5421
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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