Individual
MRS. MICA LYNN RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
209 N BELLS ST, ALAMO, TN 38001-1755
(731) 696-2505
(731) 696-4370
Mailing address
81 TRENTON HWY, TRENTON, TN 38382-9457
(731) 692-4522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000106651
TN
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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