Individual
MS. RUDI CLAIRA RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22924 ELDER DR., CHUGIAK, AK 99567-2488
(907) 350-3704
Mailing address
PO BOX 672488, CHUGIAK, AK 99567-2488
(907) 350-3704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
107525
AK
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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