Individual
LOGAN REID TRUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 525-5300
Mailing address
120 W SOLOMON ST # 1105, GRIFFIN, GA 30223-3045
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95131684
CA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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