Individual
SHEENA MARIE DUDIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712
(254) 202-3958
Mailing address
111 OAK LN, ELM MOTT, TX 76640
(254) 717-5676
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1048458
TX
Other
Enumeration date
11/08/2011
Last updated
01/05/2012
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