Individual
TERRY ALAN RUDENSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10000 MICKELBERRY RD NW, SILVERDALE, WA 98383-8302
(360) 308-2132
Mailing address
10000 MICKELBERRY RD NW, SILVERDALE, WA 98383-8302
(360) 308-2132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1928
WA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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