Individual
JENNIFER RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2099
(609) 914-6000
Mailing address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2099
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR16084000
NJ
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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