Individual
MORGAN RUDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1507 S MAIN ST, MOUNT AIRY, MD 21771-5393
(301) 829-2221
Mailing address
1507 S MAIN ST, MOUNT AIRY, MD 21771-5393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2848
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2022
Last updated
06/24/2022
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