Individual
MARICA RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10205 KENSINGTON TRL, LITHONIA, GA 30038-3289
(334) 354-8161
Mailing address
10205 KENSINGTON TRL, LITHONIA, GA 30038-3289
(334) 354-8161
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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