Individual
MRS. JENNIFER TANYA SUDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
58 16TH ST STE 500, WHEELING, WV 26003-3660
(304) 242-7751
Mailing address
58 16TH ST STE 500, WHEELING, WV 26003-3660
(304) 242-7751
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
3170
WV
Other
Enumeration date
08/22/2012
Last updated
07/21/2022
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