Individual
JUSTIN RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(360) 791-4264
Mailing address
6457 PIERCE ST, OMAHA, NE 68106-1531
(360) 791-4264
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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