Individual
MISS THEODORA RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2895
Mailing address
167 NORTH MAIN STREET, PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2895
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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