Individual
MS. CATHY PRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
517 TAWAS ST, EAST TAWAS, MI 48730-1316
(989) 314-3059
Mailing address
517 TAWAS ST, EAST TAWAS, MI 48730-1316
(989) 314-3059
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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