Individual
TRUDI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 ALAN B MOLLOHAN DR., MOUNT ZION, WV 26151-8500
(304) 354-7011
Mailing address
540 ALAN B MOLLOHAN DR., MOUNT ZION, WV 26151-8500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60323
WV
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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