Individual
SHERI LEDAWN RUDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 SIERRA VERDE RD, SELIGMAN, AZ 86337
(928) 699-8790
Mailing address
PO BOX 82, SELIGMAN, AZ 86337-0082
(928) 699-8790
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
1657556
AZ
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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