Individual
PAYTON DUDLEY ALESE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 CHARM RIDGE DR APT A, JEFFERSON CITY, MO 65109-4563
(573) 482-5249
Mailing address
5001 CHARM RIDGE DR APT A, JEFFERSON CITY, MO 65109-4563
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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