Individual
DIANE ELIZABETH DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
746 NW LOOP 410, T-2467, SAN ANTONIO, TX 78216-5609
(210) 424-2302
(210) 424-2312
Mailing address
746 NW LOOP 410, T-2467, SAN ANTONIO, TX 78216-5609
(210) 424-2302
(210) 424-2312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46420
TX
Other
Enumeration date
07/24/2011
Last updated
07/24/2011
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