Individual
JENNIFER ELIZABETH RUDDLE-FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6085 MARSHALEE DR, 110, ELKRIDGE, MD 21075-6023
(410) 379-3400
Mailing address
1004 HARBOR DR, ANNAPOLIS, MD 21403-4227
(410) 263-4140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R135106
MD
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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