Individual
CRAIG RUDHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 E 18TH ST, ANTIOCH, CA 94509-2450
(925) 777-1133
Mailing address
55 E 18TH ST, ANTIOCH, CA 94509-2450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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