Individual
ELLEN JEAN RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
242 SUMMER ST, PLYMOUTH, MA 02360-4642
(508) 746-1604
(508) 746-1604
Mailing address
242 SUMMER ST, PLYMOUTH, MA 02360-4642
(508) 746-1604
(508) 746-1604
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
66877
MA
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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