Individual
MARANDA ELYSE RUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
Mailing address
538 N ENDERLY AVE APT 4, BROWNSBURG, IN 46112-1164
(765) 338-8135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002206A
IN
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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