LISA MARIE RUDY

FPO, AP
NPI1518173442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-05-15
Last Update Date2008-04-20
Business Address
Mrs. LISA MARIE RUDY IDC
PSC 475 BOX 1
FPO, AP 96350
Phone number: 0118146-816-5122
Mailing Address
Mrs. LISA MARIE RUDY IDC
PSC 475 BOX 1693
FPO, AP 96350
Phone number: 518-831-9056
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