RUDOLPH LUCAS

GLENDALE, AZ
NPI1477236867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: AZ  S81862239)
Enumeration Date2023-08-10
Last Update Date2023-08-10
Business Address
Mr. RUDOLPH LUCAS
5658 W HARMONT DR
GLENDALE, AZ 85302-4669
Phone number: 815-329-0499
Mailing Address
Mr. RUDOLPH LUCAS
5658 W HARMONT DR
GLENDALE, AZ 85302-4669
Phone number: 815-329-0499
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