Individual
BRENDA KAYE RUDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
ROUTE 1 BOX 35 D, BOLEY, OK 74829
(918) 667-3367
(918) 667-3387
Mailing address
ROUTE 1 BOX 35 D, BOLEY, OK 74829
(918) 667-3367
(918) 667-3387
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
90724
OK
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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