Individual
JANELLE RUTH BLUDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-5868
Mailing address
321 S COLUMBIA ST # 7121, CHAPEL HILL, NC 27514-4309
(805) 886-5021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06445
NC
363A00000X
Physician Assistant
PA21187
CA
363A00000X
Physician Assistant
PA4641
MA
Other
Enumeration date
09/20/2010
Last updated
03/31/2021
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