Individual
ELIZABETH RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N MILL ST, FESTUS, MO 63028-1816
(636) 931-1961
Mailing address
110 N MILL ST, FESTUS, MO 63028-1816
(636) 931-1961
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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