Individual
TAMMY LYNNE DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
384 W MAIN ST APT 9F, SAINT PARIS, OH 43072-9574
(937) 663-7167
Mailing address
PO BOX 304, CHRISTIANSBURG, OH 45389-0304
(937) 857-9675
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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