Individual
MARLENE RUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
3157 LAMAR CT, SPRING VALLEY, CA 91977-2651
(619) 532-6435
Mailing address
3157 LAMAR CT, SPRING VALLEY, CA 91977-2651
(619) 532-6435
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
508060
CA
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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